Optimal Time of Surgical Treatment for Kawasaki Coronary Artery Disease

Yamauchi, Hitoshi; Ochi, Masami; Fujii, Masahiro; Hinokiyama, Kazuhiro; Ohmori, Hiroya; Sasaki, Takashi; Ikegami, Ei; Uchikoba, Yoko; Ogawa, Satoshi; Shimizu, Kazuo

doi:10.1272/jnms.71.279

Cited by 20 publications

(11 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The major complication of Kawasaki disease with myocardial infarction is caused by thrombus formation inside the aneurysm or by an organic obstructive lesion after regression of the aneurysm. 2 The ITA is a conduit with potential for growth and adaptation. This growth potential may be the most important reason for its excellent long-term patency, which suggests that the in situ ITA graft is the graft of choice for pediatric coronary artery bypass grafting.…”

Section: Discussionmentioning

confidence: 99%

Off-pump revascularization with the use of both internal thoracic arteries in a 3-year-old child with Kawasaki syndrome

Kowalczyk

Juraszyński

Brzezińska‐Rajszys

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

procedure (eg, the risks of redo sternotomy to perform the second procedure [LVRS]). Even if one is performing a video-assisted thoracoscopic LVRS after CABG, there are likely to be adhesions relating to previous opening of the pleura to harvest the internal thoracic artery for use as a conduit. Pleural adhesions can make LVRS difficult and are associated with increased morbidity.In summary, a multidisciplinary team approach has allowed this patient to undergo a successful combined LVRS and CABG. The ability to safely carry out a combined cardiac procedure and LVRS has important implications and advantages. References

show abstract

Section: Discussionmentioning

confidence: 99%

Off-pump revascularization with the use of both internal thoracic arteries in a 3-year-old child with Kawasaki syndrome

Kowalczyk

Juraszyński

Brzezińska‐Rajszys

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…On the contrary, when ischemia is detected by RCA, we would like to perform CABG if possible, but in many cases, the internal thoracic artery, which can be used as a graft, does not reach the distal portion of the RCA in small children, and the GEA is too thin to be used as a graft; hence, CABG must be given up in many cases. Therefore, in our institution, we perform RCA downsizing reconstruction, with the consent of the patient’s family, to improve ischemia by improving blood flow in the right giant coronary aneurysm [ 8 , 9 ].…”

Section: Methodsmentioning

confidence: 99%

Prognosis of Coronary Artery Bypass Grafting in Preschool-Aged Patients with Myocardial Ischemia Due to Giant Aneurysm of Kawasaki Disease

Watanabe

Fukazawa

Kamisago

et al. 2022

JCM

Self Cite

View full text Add to dashboard Cite

Coronary artery bypass grafting (CABG) for severe cardiac sequelae of Kawasaki disease (KD) complicated by myocardial ischemia is feasible even in childhood. However, no report has summarized the prognosis of CABG in preschool-aged children. Therefore, we evaluated the outcomes of seven preschool-aged children who underwent CABG for the cardiac sequelae of KD in our hospital. The median age at KD onset and CABG was 36 and 59 months, respectively. The median period from KD onset to CABG was 12 months. The median post-operative observation period was 108 months. CABG between the left internal thoracic artery and left anterior descending artery was performed in all patients. In all patients, postoperative cardiac catheter examination revealed good graft patency and no anastomotic stenosis. Further, pre-operative abnormality of coronary flow reserve returned to normal after CABG. Currently, only one patient is taking warfarin. Regarding school–life management, no patient has exercise limitations, except for one patient who had acute myocardial infarction before CABG. Further, the risk of graft stenosis or occlusion was evaluated in the included patients. However, no accidents have been reported to date, and myocardial ischemia and school–life management have improved. Thus, CABG is an effective treatment in preschool-aged children.

show abstract

“…In a study of children with giant coronary aneurysms and myocardial ischaemia, referral for earlier coronary artery bypass grafting resulted in better post‐operative results, with 95% survival rates at 20–25 years post‐operatively and cardiac event‐free rates that progressively declined to 60% at 25 years …”

Section: Surgical Managementmentioning

confidence: 99%

An update onKawasaki diseaseII: Clinical features, diagnosis, treatment and outcomes

Yim

Curtis

Cheung

et al. 2013

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

Optimal Time of Surgical Treatment for Kawasaki Coronary Artery Disease

Cited by 20 publications

References 17 publications

Off-pump revascularization with the use of both internal thoracic arteries in a 3-year-old child with Kawasaki syndrome

Off-pump revascularization with the use of both internal thoracic arteries in a 3-year-old child with Kawasaki syndrome

Prognosis of Coronary Artery Bypass Grafting in Preschool-Aged Patients with Myocardial Ischemia Due to Giant Aneurysm of Kawasaki Disease

An update onKawasaki diseaseII: Clinical features, diagnosis, treatment and outcomes

Contact Info

Product

Resources

About