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Emergency coronary artery bypass grafting for cardiogenic shock due to left main coronary artery obstruction caused by K awasaki disease in a 4‐year‐old boy
Author(s) -
Tamaki Wataru,
Tsuda Etsuko,
Nakajima Hiroyuki,
Kobayashi Junjiro,
Shiono Junko
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12253
Subject(s) - medicine , cardiogenic shock , bypass grafting , cardiology , artery , left main coronary artery disease , coronary artery disease , shock (circulatory) , myocardial infarction
We describe the case of a 4‐year‐old boy whose clinical course after K awasaki disease resulted in coronary artery bypass grafting ( CABG ) due to acute myocardial infarction ( AMI ) causing cardiogenic shock. He had developed an ischemic cardiomyopathy due to severe localized stenosis of the left main coronary artery ( LCA ) and went into cardiogenic shock due to AMI on the day before a scheduled operation. He underwent successful emergency CABG within 4 h of MI . Postoperatively his neurological status was intact. This is the first report of a successful emergency CABG in a small child with cardiogenic shock due to LCA occlusion. CABG should be undertaken in small patients when appropriate indications exist, if bodyweight is >10 kg.