Coronary Artery Bypass Grafting for Coronary Artery Disease in Pediatric Patients with Kawasaki Disease

概要

論文の詳細を見る
Coronary artery bypass grafting was performed for treatment of serious coronary artery disease in 35 pediatric patients with Kawasaki disease. These patients ranged from 1 year to 19 years in age, with the mean age being 8.8 years. There were 11 patients aged under 5 years. An autologous saphenous vein graft alone was used in the initial 2 patients, while at least one arterial graft was used in the remaining 33 patients in order to maintain patency during growth. The internal thoracic artery was the arterial graft in these 33 patients. A 1-year-old patient who underwent emergency surgery died suddenly at 3 months after operation, and another patient had late recurrence of angina caused by graft narrowing (treated by re-operation after 7 years). However, the postoperative course was generally uneventful in the other 33 patients. For internal thoracic artery grafts, the patency rate was 92% (32/35) in the early period, 93% (26/30) after 1 year, and 93% (14/15) after 2 years, indicating good longterm patency. For saphenous vein grafts, the patency rate was 89% (8/9), 75% (6/8), and 67% (4/6), respectively. In 12 patients with arterial grafts, late angiography showed that the graft size enlarged and there was increased blood flow. These results suggest that the ITA graft provides good patency for pediatric patients with Kawasaki disease.
北里大学の論文
1998-08-31