Saphenous Vein Graft Growth 13 Years After Coronary Bypass in a Child With Kawasaki Disease

El-Khouri, Hanna M.; Danilowicz, Delores; Slovis, Arnold J.; Colvin, Stephen B.; Artman, Michael

doi:10.1016/s0003-4975(97)01415-x

Cited by 19 publications

(17 citation statements)

References 5 publications

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“…If we infer outcomes from other studies of coronary bypass grafting, most figures suggest a potential risk for reoperation in young patients with several decades of life ahead. Tenyear patency rates of 78% and 36% are associated with internal mammary grafts and saphenous vein grafting, respectively, for Kawasaki's disease [48], although longterm vein patency has occasionally been reported, including at our center [49]. For internal mammary grafts, 10-year patency rates are 80-90% [50].…”

Section: Surgical Managementmentioning

confidence: 84%

Management of anomalous coronary arteries from the contralateral sinus

Mirchandani

Phoon

2005

International Journal of Cardiology

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Section: Surgical Managementmentioning

confidence: 84%

Management of anomalous coronary arteries from the contralateral sinus

Mirchandani

Phoon

2005

International Journal of Cardiology

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“…[3,4] Variations in the adaptation to growth of children have been shown between the arterial and venous grafts with thoracic artery growing in a proportion to somatic growth, while saphenous vein grafts tend to course in a more linear way without any increase in the length or diameter. [5][6][7] In our case, the choice of LIMA depended on its growth potential. However, the small size of the thorax, LIMA and coronary arteries makes it difficult to position the thorax, to harvest LIMA, and to anastomose it to a small coronary artery.…”

Section: Discussionmentioning

confidence: 87%

Ten-year follow-up of coronary revascularization in a pediatric case with homozygous familial hypercholesterolemia

Oral¹

2017

Cardiovasc Surg Int

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ABSTR ACTHomozygous familial hypercholesterolemia can cause coronary artery stenosis during childhood. Herein, we report a six-year-old boy who underwent coronary artery bypass grafting and liver transplantation at the same clinic four months later.Keywords: Coronary artery bypass grafting, Familial hypercholesterolemia; liver transplantation; pediatric coronary bypass.Homozygous familial hypercholesterolemia (HFH) is a rare, but a serious genetic disorder with a mutation in the low-density lipoprotein (LDL) receptor.[1] It is characterized by severely elevated serum LDL levels and cutaneous, tendinous xanthomas, and an increased risk of premature coronary artery disease (CAD), which may necessitate coronary artery bypass grafting (CABG) in children.Herein, we report a six-year-old boy who underwent CABG and liver transplantation at the same clinic four months later. CASE REPORTA six-year-old boy was admitted to our clinic with a history of chest pain in May 2006. He was diagnosed with HFH six months ago, and was scheduled for liver transplantation. He received medical therapy including atorvastatin 40 mg daily and ezetimibe 10 mg daily. With the treatment, total cholesterol was 768 mg/dL, LDL cholesterol 679 mg/dL, high-density lipoprotein (HDL) cholesterol 24 mg/dL, and triglycerides 85 mg/dL in the blood tests. Other parameters were within normal ranges. In the preoperative period, stable angina was detected and coronary angiography was performed. There was severe stenosis at the proximal left main coronary artery (LMCA) (90%) and multiple mild stenotic lesions at the other coronary arteries (Figure 1). Thallium myocardial scintigraphy was performed and myocardial ischemia was seen only at the left anterior location. Echocardiography showed normal ejection fraction with 65% and aortic valve and aortic wall thickening without gradient. Carotid arteries were examined with Doppler ultrasound, and there were no evidence of stenosis, despite small atheromatous plaque formations.

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“…[56] However, acceptable results from using venous grafts have been reported. [78] For this patient, the subclavian arteries were stenosed, and given the natural evolution of the lesion in this disease, using internal mammary arteries was not possible without prior dilatation. So the strategy was geared toward the use of the crural portion of both internal saphenous veins which is a good template to make the coronary artery bypass grafts.…”

Section: Discussionmentioning

confidence: 99%

Redux valvular surgery with coronary artery bypass graft in familial hypercholesterolemia

Ziadi¹,

Mleyhi²,

Skander³

et al. 2014

Ann Pediatr Card

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Familial hypercholesterolemia (FH) is a dominantly inherited disorder caused by mutation at the locus for the low-density lipoprotein (LDL) receptor and is frequently associated with premature coronary artery disease and aortic valve involvement. The surgical treatment of these complications is accompanied by a high degree of risk, even in skillful hands. An intensive cholesterol-lowering therapy and LDL aphaeresis in association with surgery may be useful. The case of a 12-year-old girl, with a medical history of familial hypercholesterolemia is reported here, operated two years previously for valvular aortic stenosis; Ross intervention was done. She was readmitted for acute coronary syndrome. Three coronary artery bypass grafting was performed with saphenous veins with positive results.

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Saphenous Vein Graft Growth 13 Years After Coronary Bypass in a Child With Kawasaki Disease

Cited by 19 publications

References 5 publications

Management of anomalous coronary arteries from the contralateral sinus

Management of anomalous coronary arteries from the contralateral sinus

Ten-year follow-up of coronary revascularization in a pediatric case with homozygous familial hypercholesterolemia

Redux valvular surgery with coronary artery bypass graft in familial hypercholesterolemia

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