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Coronary artery bypass for Takayasu's arteritis involving the aortic root in a child
Author(s) -
Kowatari Ryosuke,
Minakawa Masahito,
Daitoku Kazuyuki,
Suzuki Yasuyuki,
Fukuda Ikuo
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15425
Subject(s) - medicine , takayasu's arteritis , cardiology , thoracotomy , artery , angina , aorta , left coronary artery , chest pain , axillary artery , regurgitation (circulation) , surgery , myocardial infarction , vasculitis , disease
The patient was a 12‐year‐old female who presented with angina pectoris, aortic root dilatation, and aortic regurgitation (AR) caused by Takayasu's arteritis (TA). After the management of systemic inflammation, she underwent off‐pump coronary artery bypass with the radial artery (RA), which extended from the left axillary artery to the left descending coronary artery, via left mini‐thoracotomy. Postoperative angiography revealed the growth of the RA graft. The patient is well 4 years after surgery without progression of AR. Off‐pump coronary artery bypass is a palliative therapy. Moreover, it could be a feasible option in a child with TA involving the aortic root.