Midterm outcomes of myocardial revascularization in children

Viola, Nicola; Alghamdi, Abdullah A.; Al‐Radi, Osman O.; Coles, John G.; Arsdell, Glen S. Van; Caldarone, Christopher A.

doi:10.1016/j.jtcvs.2009.09.005

Cited by 26 publications

(25 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The IMA also retains its natural curvature from the time of operation and is not stretched excessively by the patient's somatic growth . More importantly, in the pediatric population, the arterial grafts have been demonstrated to grow with the rest of the body . As seen in our two cases, the long‐term function of the IMA grafts is excellent 9.5 and 18 years after CABG.…”

Section: Discussionmentioning

confidence: 52%

See 1 more Smart Citation

Coronary artery bypass grafting in children

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 52%

“…Currently, the internal mammary artery (IMA) is more commonly used than the SVG due to its excellent long‐term patency rates and the ability to grow along with the developing child . Recently, there have been reports using percutaneous myocardial revascularization in the pediatric population .…”

Section: Introductionmentioning

confidence: 99%

Coronary artery bypass grafting in children

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Coronary arterial lesions in pediatric patients, despite being rare, manifest mostly as coronary artery stenoses (CAS) and coronary fistulae (CAF) . Such manifestations cause impaired coronary perfusion, the consequences of which can range from myocardial malfunction, infarction, ventricular volume overload, and circulatory failure to death . The small vessel diameters in infants and children make interventional treatment demanding and strongly determines the selection of suitable material and procedural techniques.…”

Section: Introductionmentioning

confidence: 99%

Coronary Interventions in Congenital Heart Diseases: From Preterm to Young Adult Patients

Schneider

Wiebe

Hraška

et al. 2013

J Interven Cardiology

View full text Add to dashboard Cite

Congenital and post-procedural coronary obstructive lesions can be considered for effective treatment with balloon dilation at any age as a salvage procedure. In coronaries impaired by external compression, stent implantation can restore perfusion, but long-term results are missing. Interventional closure of coronary fistulae has shown improvement of coronary arterial perfusion. The latter techniques can be used to close right ventricular to CA connections in patients with pulmonary atresia to prepare for biventricular repair, but bail-out strategies should be planned in all coronary interventions.

show abstract

“…8913–19 Mid-term and long-term results of the different revascularisation modalities are, however, limited. 16 This is particularly true for younger patients undergoing coronary revascularisation for a surgical indication associated with CHD (rather than secondary to Kawasaki disease or post-transplant coronary vasculopathy).…”

Section: Introductionmentioning

confidence: 99%

Outcomes after surgical coronary artery revascularisation in children with congenital heart disease

Thammineni¹,

Vinocur

Harvey

et al. 2018

Heart

View full text Add to dashboard Cite

Objective Surgical coronary revascularisation in children with congenital heart disease (CHD) is a rare event for which limited information is available. In this study, we review the indications and outcomes of surgical coronary revascularisation from the Pediatric Cardiac Care Consortium, a large US-based multicentre registry of interventions for CHD. Methods This is a retrospective cohort study of children (<18 years old) with CHD who underwent surgical coronary revascularisation between 1982 and 2011. Inhospital mortality and graft patency data were obtained from the registry. Long-term transplant-free survival through 2014 was achieved for patients with adequate identifiers via linkage with the US National Death Index and the Organ Procurement and Transplantation Network. Results Coronary revascularisation was accomplished by bypass grafting (n=72, median age 6.8 years, range 3 days–17.4 years) or other operations (n=65, median age 2.6 years, range 5 days–16.7 years) in 137 patients. Most revascularisations were related to the aortic root (61.3%) or coronary anomalies (27.7%), but 10.9% of them were unrelated to either of them. Twenty in-hospital deaths occurred, 70% of them after urgent ‘rescue’ revascularisation in association with another operation. Long-term outcomes were available by external linkage for 54 patients surviving to hospital discharge (median follow-up time 15.0 years, max follow-up 29.8 years) with a 15-year transplant-free survival of 91% (95% CI 83% to 99%). Conclusions Surgical coronary revascularisation can be performed in children with CHD with acceptable immediate and long-term survival. Outcomes are dependent on indication, with the highest mortality in rescue procedures.

show abstract

Midterm outcomes of myocardial revascularization in children

Abstract: Pediatric coronary artery bypass grafting can be performed for a wide range of indications. Midterm results are excellent. Preoperative stress testing can detect silent myocardial ischemia.

Cited by 26 publications

References 21 publications

Coronary artery bypass grafting in children

Coronary artery bypass grafting in children

Coronary Interventions in Congenital Heart Diseases: From Preterm to Young Adult Patients

Outcomes after surgical coronary artery revascularisation in children with congenital heart disease

Contact Info

Product

Resources

About