Redo off-pump coronary bypass grafting with arterial grafts for Kawasaki disease

Surgical revascularization for coronary artery lesions secondary to Kawasaki disease is relatively uncommon. The late stenosis of the saphenous vein graft is the problem to be solved. We report a case of redo off-pump coronary bypass grafting in a 35-year-old man, 20 years after bypass grafting usin...

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Bibliographic Details
Published in:Heart and vessels 2006-11, Vol.21 (6), p.361-364
Main Authors: Matsuura, Kaoru, Kobayashi, Junjiro, Bando, Ko, Niwaya, Kazuo, Tagusari, Osamu, Nakajima, Hiroyuki, Kitamura, Soichiro
Format: Article
Language:English
Subjects:
Adult
Cardiovascular disease
Case studies
Coronary Angiography
Coronary Artery Bypass, Off-Pump - methods
Coronary Stenosis - etiology
Coronary Stenosis - surgery
Coronary Vessels - surgery
Graft Occlusion, Vascular - surgery
Heart surgery
Humans
Male
Mammary Arteries - transplantation
Mucocutaneous Lymph Node Syndrome - complications
Mucocutaneous Lymph Node Syndrome - surgery
Reoperation
Saphenous Vein - transplantation
Skin & tissue grafts
Veins & arteries
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Summary:Surgical revascularization for coronary artery lesions secondary to Kawasaki disease is relatively uncommon. The late stenosis of the saphenous vein graft is the problem to be solved. We report a case of redo off-pump coronary bypass grafting in a 35-year-old man, 20 years after bypass grafting using a saphenous vein graft. Off-pump total arterial revascularization was performed uneventfully. The procedure comprised grafting of bilateral internal thoracic arteries to left anterior descending branch and obtuse marginal branch, and radial artery to AV branch and posterior descending branch. Off-pump total arterial revascularization is a safe and less invasive procedure at the time of redo operation, even for patients with Kawasaki disease.
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-006-0912-6