Internal mammary artery grafting for coronary hypoperfusion in children.

Abstract

BACKGROUND:

Pediatric coronary artery bypass is performed for ischemic complications of Kawasaki disease, congenital coronary anomalies, and iatrogenic pediatric coronary artery problems.

METHODS:

We performed myocardial revascularization using the internal mammary artery in 6 children. A review of outcomes is presented here. Patient ages ranged from 7 days to 10 years.

RESULTS:

There was no operative mortality. All coronary bypass grafts were patent at 3 months to 3 years postoperatively. No patient had recurrent angina or showed signs of myocardial ischemia.

CONCLUSION:

Internal mammary artery bypass grafting can be successfully performed in infants and children with good results. Long-term patency and growth of the anastomosis of the distal vessel are not clear, but good clinical and angiographic results have been reported even after 25 years.

• Authors: C Vuran, P Simon, G Wollenek
• Journal: The Thoracic and cardiovascular surgeon (Thorac Cardiovasc Surg) Vol. 58 Issue 6 Pg. 359-60 (Sep 2010) ISSN: 1439-1902 [Electronic] Germany
• PMID: 20824591 (Publication Type: Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart, New York.

Topics

• Austria
• Child
• Coronary Circulation
• Coronary Vessels (physiopathology, surgery)
• Female
• Humans
• Infant, Newborn
• Internal Mammary-Coronary Artery Anastomosis (adverse effects)
• Male
• Myocardial Ischemia (diagnostic imaging, etiology, physiopathology, surgery)
• Radiography
• Time Factors
• Treatment Outcome
• Vascular Patency