Abstract
Coronary revascularization surgery for the sequelae of Kawasaki disease is effective in improving cardiac function during exercise and probably in preventing sudden deaths and myocardial infarction in children. This operation is now established as a treatment for severe inflammatory coronary obstructive disease due to Kawasaki disease. Results of the surgery and long-term prognosis are favorable, and the postoperative quality of life is satisfactory in our series of over 100 patients.
The internal thoracic artery graft is not only excellent in its long-term patency but also is capable of growing with the child and meeting the perfusion demand of the myocardium. Thus, it is an ideal graft material for coronary artery reconstruction in children. Use of the bilateral internal thoracic artery is also safe. Moreover, right gastroepiploic artery grafts are useful in patients with distal coronary artery lesions. The merits of surgical treatment for coronary artery lesions due to Kawasaki disease have now been recognized not only in Japan but in all over the world. PTCA may be required and is proved to be useful for anastomotic stricture of the graft.
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Kitamura, S. Up to Date Results of Surgical Revascularization for Kawasaki Disease. Pediatr Res 53, 162 (2003). https://doi.org/10.1203/00006450-200301000-00052
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DOI: https://doi.org/10.1203/00006450-200301000-00052