Off-Pump Double Coronary Artery Bypass in a 14-Year-Old With Kawasaki Disease.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28935322.
- Also identified by DOI 10.1016/j.athoracsur.2017.04.041.
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Abstract
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.
Medical subject headings
- Coronary Aneurysm
- Coronary Artery Bypass, Off-Pump
- Electrocardiography
- Mucocutaneous Lymph Node Syndrome
- Quality of Life