Robotic minimally invasive direct coronary artery bypass for Kawasaki disease
AbstractCase 1: 17-year-old boy developed severe stenosis at the proximal site of the coronary aneurysm in the left anterior descending artery (LAD). Case 2: 16-year-old boy developed severe stenosis at the proximal site of the coronary aneurysm in the LAD. Case 3: 30-year-old woman developed severe stenosis of the distal portion of the coronary aneurysm in the LAD. Minimally invasive direct coronary artery bypass (MIDCAB) with robot-assisted left internal thoracic artery harvest was successfully performed without cardiopulmonary bypass in these three young patients with Kawasaki disease. This is the first case report of robot-assisted MIDCAB for Kawasaki disease.
Authors: Kapoor L, Chowdhury P, Barman D, Gayen R, Toshniwal V, Kumar S, Narayan P PMID: 33014095 [PubMed]
Abstract Objective: To examine the results of various myocardial revascularization techniques in pediatric patients to better understand the strategies for surgical treatment of coronary artery pathologies. Methods: We analyzed 61 publications dedicated to the indications, methods, and results of coronary bypass surgery in children. Due to the small size of this cohort, case reports are also included in our review. Results: The main indications for coronary bypass grafting in children are Kawasaki disease, myocardial revascularization as a necessary procedure during the congenital cardiac surgery, to manage intraoperative ...
Resumo Os sintomas respirat órios, principalmente o desenvolvimento de quadros de síndrome do desconforto respiratório agudo grave, dominam a discussão e as preocupações iniciais da população e dos profissionais de saúde. Entretanto, o sistema cardiovascular é bastante afetado por essas condições e, muitas vezes, é o responsável por complicações e mortalidade desses pacientes. Com o objetivo de mostrar as implicações cardiovasculares em pacientes infectados pela COVID-19 e a importância do iso...
Conclusion: Pediatric coronary artery surgery technique is now established as the standard safety surgical choice, as a new area in cardiac surgery. Congenital heart surgeons after proper training are able to use coronary transfer and bypass surgery safely even in premature babies. Orv Hetil. 2019; 160(49): 1935-1940. PMID: 31786939 [PubMed - in process]
ConclusionsMultiple CABG using arterial conduits is feasible, safe, and therapeutically effective long term for patients with advanced KD-associated coronary artery disease.
ConclusionsMultiple CABG using arterial conduits is feasible, safe, and therapeutically effective long-term for patients with advanced KD-associated coronary artery disease.
CONCLUSIONS: Multiple CABG using arterial conduits is feasible, safe, and therapeutically effective long-term for patients with advanced KD-associated coronary artery disease. PMID: 31039352 [PubMed - as supplied by publisher]
AbstractHere we report a rare case of atypical Kawasaki disease (KD) in a patient presenting with systemic arteritis affecting the coronary arteries, brain, and internal mammary arteries (IMAs). A 25 ‐year‐old man was referred to our institute with angina pectoris. Coronary angiography revealed coronary artery aneurysms and triple‐vessel disease. Three‐dimensional brain computed tomography showed multiple small saccular aneurysms on the vertebral and posterior inferior cerebellar arterie s. Off‐pump coronary artery bypass (OPCAB) grafting was performed; however, the bilateral IMAs were tightly a...
Conclusion: Off-pump CABG with mainly arterial graft revascularization may be considered a good surgical option for coronary lesions caused by KD. PMID: 30310367 [PubMed - in process]
Journal of Cardiac Surgery, EarlyView.