Document Detail


Percutaneous transluminal coronary angioplasty for anastomotic stenosis after coronary arterial bypass grafting in Kawasaki disease.
MedLine Citation:
PMID:  12903877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We evaluated the efficacy of percutaneous transluminal coronary angioplasty for anastomotic stenosis after coronary arterial bypass grafting using the internal thoracic artery in patients with coronary arterial lesions due to Kawasaki disease. SUBJECTS AND METHODS: From July 1997 to April 2000, four boys and one girl underwent percutaneous transluminal coronary angioplasty for 6 anastomotic lesions following coronary arterial bypass grafting using the left or right internal thoracic artery. Progressive severe stenosis of the grafts in the follow-up angiograms after grafting, and evidence of ischemia, were regarded as indications for percutaneous transluminal coronary angioplasty. Age at coronary angioplasty ranged from 4.2 to 16.7 years, with a median of 6.9 years, while the interval from operation ranged from 0.3 to 3.0 years, with a median of 1.1 years. The diameter of the balloon catheter employed varied from 1.5 to 2.5 mm, and the pressure of inflation ranged from 8 to 16 atmospheres. RESULTS: The degree of stenosis decreased from 63 to 99%, with a median of 88%, to 0 to 40%, with a median of 17% immediately after angioplasty. A follow-up angiogram either 3 months or 1 year later revealed no restenosis in any patient. CONCLUSION: Percutaneous transluminal coronary angioplasty is a feasible and useful procedure for treating anastomotic stenosis following coronary arterial bypass grafting using the internal thoracic artery in patients with coronary arterial lesions due to Kawasaki disease.
Authors:
Aya Miyazaki; Etsuko Tsuda; Shunichi Miyazaki; Soichiro Kitamura; Hideshi Tomita; Shigeyuki Echigo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  13     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-08-07     Completed Date:  2003-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  284-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anastomosis, Surgical
Angioplasty, Transluminal, Percutaneous Coronary*
Child
Child, Preschool
Constriction, Pathologic / therapy
Coronary Artery Bypass*
Disease Progression
Echocardiography, Doppler, Color
Female
Humans
Male
Mammary Arteries / transplantation
Mucocutaneous Lymph Node Syndrome / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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