Open AccessOff-pump coronary bypass grafting for kawasaki disease
Author(s) -
Sudeep Verma,
Dasarathan Charumathi,
Rajasekaran Premsekar,
Prashant Vaijyanath
Publication year - 2010
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.74058
Subject(s) - medicine , kawasaki disease , cardiology , off pump coronary artery bypass , artery , angina , right coronary artery , coronary angiogram , occlusion , bypass grafting , coronary artery disease , surgery , myocardial infarction , coronary angiography
A 6-year-old girl, a known case of Kawasaki disease, presented with acute thrombotic occlusion of right coronary artery (RCA) with symptoms of acute angina and myocardial dysfunction. She underwent beating heart off-pump coronary artery bypass graft (CABG) surgery with right internal mammary artery (RIMA) grafted to distal RCA. Follow-up computed tomography angiogram revealed well-flowing RIMA with no obstruction or kink. This case highlights the importance of CABG as a safe and life-saving procedure in expert hands, even for children in emergent conditions.