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Title: Coronary artery bypass graft in Kawasaki disease patients: Siriraj experience
Authors: Prakul Chanthong
Somchai Sriyoschati
Kritvikrom Durongpisitkul
Jarupim Soongswang
Duangmanee Laohaprasitiporn
Apichart Nana
Mahidol University
Keywords: Medicine
Issue Date: 1-Aug-2005
Citation: Journal of the Medical Association of Thailand. Vol.88, No.SUPPL. 8 (2005)
Abstract: Kawasaki disease (KD) is an acute systemic vasculitis. It is one of the most common acquired heart diseases in children. Its important acute complication is coronary artery aneurysm. Although most of these aneurysms resolved overtime but some never did. Coronary artery stenosis and myocardial insufficiency or infarction are late complications. Coronary artery bypass graft (CABG) and catheter intervention are the treatment for these patients. We report our first five cases of Kawasaki patients with myocardial insufficiency who underwent CABG at Siriraj Hospital. Patients' ages ranged from 3.3 to 14.4 years old. Only two patients (40%) had angina. Internal thoracic artery was used as a bypass graft in most patients and postoperative course was uneventful. Coronary bypass operation is a safe and reliable surgical modality for coronary artery sequelae in children with Kawasaki disease. A long-term follow-up is necessary to study the long-term outcome of bypass.
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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