Off-pump coronary bypass grafting for kawasaki disease

Verma, Sudeep; Dasarathan, Charumathi; Premsekar, Rajasekaran; Vaijyanath, Prashant

doi:10.4103/0974-2069.74058

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…A total of 628 (99.4%) patients received conventional CABG under standard cardiopulmonary bypass (one of them underwent a redo-off-pump coronary artery bypass (OPCAB) due to failure of the previous graft and the progression of the coronary pathology (50)), three (0.5%) patients underwent OPCAB (56, 65, 72), and one (0.2%) patient received minimally invasive direct coronary artery bypass (62). There were 1,425 grafts with 1,445 distal anastomoses in CABGs including 1,409 independent grafts with 1,409 anastomoses, nine sequential grafts with 22 anastomoses, three composite Y-grafts with nine anastomoses, and four composite I-grafts with five anastomoses, respectively (Table 4).…”

Section: Resultsmentioning

confidence: 99%

“…Kowalczyk et al (65) performed bilateral IMA grafts with OPCAB in a 3-year-old-boy with Kawasaki disease. Verma et al (72) grafted the right IMA to distal RCA with OPCAB in a 6-year-old girl. Takata et al (62) performed composite arterial grafts by robotically assisted, minimally invasive, direct coronary artery bypass for a patient with Kawasaki disease.…”

Section: Discussionmentioning

confidence: 99%

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Cardiac surgical procedures for the coronary sequelae of Kawasaki disease

Yuan

2012

Libyan Journal of Medicine

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ObjectivesThe aim of this article is to make an evaluation on the clinical features of patients with Kawasaki disease who require a cardiac surgical procedure including coronary artery bypass grafting, coronary arterial aneurysmorrhaphy or heart transplantation.MethodsEnglish literature of Kawasaki disease for cardiac surgery (1990–2011) was retrieved in the Pubmed database. The clinical features of the patient setting from the representative articles were collected and analyzed.ResultsPatients with Kawasaki disease were very young, with some requiring a cardiac surgical procedure at a very early age. The interval between the onset and the surgical operation was 9.5±9.4 years. The prevalence of myocardial infarction and re-infarction was high. Giant aneurysm, critical stenosis with calcification and thrombus formation of the coronary arteries often warrant coronary artery bypass, heart transplantation or coronary arterial aneurysm plication. The left internal mammary artery to the left anterior descending coronary artery was the most commonly used graft in coronary artery bypass. Graft patency rate was 82.4% at 21.4±32.3 (range 0.1–252) month follow-up. The early and late mortalities of this patient setting were 0.6 and 3.0%, respectively.ConclusionsPatients with Kawasaki disease may develop coronary artery lesions prone to aneurysmal formation with calcification and thrombus and may require coronary artery bypass at a very early age. With the left internal mammary artery as the first choice of bypass graft, the long-term patency and patient survival was satisfactory.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cardiac surgical procedures for the coronary sequelae of Kawasaki disease

Yuan

2012

Libyan Journal of Medicine

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“…Публикации, посвящённые операциям КШ при БК без ИК на «работающем сердце» доступом через срединную стернотомию, единичны. Основными причинами отказа от ИК авторы считают тяжесть со-стояния больного и достаточный опыт выполнения хирургом операций КШ на «работающем сердце» [13,22].…”

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Off-Pump Mammary-Coronary Bypass of Anterior Interventricular Artery in 5.5-MONTH Infant With Kawasaki Disease Complicated With Acute Myocardial Infarction

Подкаменный¹,

Podkamenniy

Медведев³

et al. 2017

Acta Biomedica Scientifica

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Заболеваемость БК зависит от региона и чаще наблюдается в странах Восточной Азии. В Японии она составляет 138 случаев на 100 000 детского населе-ния, в США -17,1, в Великобритании -8,1. Среди за-болевших БК подавляющее большинство составляют дети в возрасте до 5 лет. Пик заболевания приходится на возраст 18-24 месяца [2,5,16].Поражение коронарных артерий (КА) в остром периоде БК сопровождается формированием «гигант-ских» аневризм (диаметром 7-8 мм) проксимальных отделов правой и (или) левой КА. В течение года аневризмы КА спонтанно исчезают [8,20].При этом в течение срока от 1 года до 20 лет после острого периода у 5 % больных могут развиваться сте-нозы и окклюзии КА, совпадающие по расположению с ранее выявленными аневризмами [9].Современные схемы лечения больных БК с при-менением высоких доз гамма-глобулина позволяют уменьшить до 7 % число осложнений, связанных с поражением КА, а летальность в остром периоде снизить до 0,05-0,1 % [1, 17].По данным K. Suda [18], у 16 % больных течение БК может осложниться острым инфарктом миокар-да (ОИМ) [19]. ОИМ значительно ухудшает прогноз. При первом ОИМ смертность составляет 22 %, при повторном -66 %, а при развитии третьего -87 %. При этом больные погибают от острой сердечной недостаточности и фатальных нарушений ритма [7].Первую операцию коронарного шунтирования (КШ) у больного, перенёсшего БК, в 1976 году выпол-нил S. Kitamura [11]. Хирургическое лечение больных

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Kawasaki disease in India–Lessons learnt over the last 20 years

Singh

Kawasaki

2016

Indian Pediatr

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Over the last 20 years, Kawasaki disease is being increasingly recognized in India and it may soon replace acute rheumatic fever to become the commonest cause of acquired heart disease amongst children. However, the vast majority of children with Kawasaki disease in India are still not being diagnosed. Diagnosis of Kawasaki disease is based on a constellation of clinical findings which have a typical temporal sequence. All pediatricians must we familiar with the nuances involved in arriving at a diagnosis of Kawasaki disease. With early diagnosis and prompt treatment, the risk of coronary artery abnormalities can be significantly reduced.

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Off-pump coronary bypass grafting for kawasaki disease

Cited by 8 publications

References 11 publications

Cardiac surgical procedures for the coronary sequelae of Kawasaki disease

Cardiac surgical procedures for the coronary sequelae of Kawasaki disease

Off-Pump Mammary-Coronary Bypass of Anterior Interventricular Artery in 5.5-MONTH Infant With Kawasaki Disease Complicated With Acute Myocardial Infarction

Kawasaki disease in India–Lessons learnt over the last 20 years

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