Off-Pump Double Coronary Artery Bypass in a 14-Year-Old With Kawasaki Disease.

Autor:	Fridman MD; Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., Owada CY; Valley Children's Hospital, Madera, California., Gregory RD; Department of Surgery, University of California, San Francisco-Fresno, Fresno, California; St. Agnes Medical Centre, Fresno, California., Birnbaum PL; Department of Surgery, University of California, San Francisco-Fresno, Fresno, California; St. Agnes Medical Centre, Fresno, California. Electronic address: drbirnbaum@icloud.com.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2017 Oct; Vol. 104 (4), pp. e307-e309.
DOI:	10.1016/j.athoracsur.2017.04.041
Abstrakt:	A 14-year-old male patient with a history of atypical Kawasaki disease at age 2 presents with triple vessel giant coronary aneurysms. Over the last several years, he began experiencing angina and dyspnea on exertion, which was a result of fully occluded right coronary and left circumflex arteries and 90% stenosis in the left anterior descending artery. He underwent off-pump coronary artery bypass using the left and right internal mammary arteries. At 18-month follow-up, there is no evidence of ischemia. Off-pump bypass is a feasible option for surgical management of the stenotic and occlusive complications of Kawasaki disease. (Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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