Coronary Artery Bypass Graft in Kawasaki Disease Patients: Siriraj Experience
Prakul Chanthong MD*, Somchai Sriyoschati MD**, Kritvikrom Durongpisitkul MD*, Jarupim Soongswang MD*, Duangmanee Laohaprasitiporn MD*, Apichart Nana MD*
Affiliation : * Division of cardiology, Department of Pediatrics, Siriraj Hospital, Mahidol University, Bangkok, Thailand ** Division of cardiothoracic surgery, Department of Surgery, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Kawasaki disease (KD) is an acute systemic vasculitis. It is one of the most common acquired heart diseases in children. Its important acute complication is coronary artery aneurysm. Although most of these aneurysms resolved overtime but some never did. Coronary artery stenosis and myocardial insufficiency or infarction are late complications. Coronary artery bypass graft (CABG) and catheter intervention are the treatment for these patients. We report our first five cases of Kawasaki patients with myocardial insufficiency who underwent CABG at Siriraj Hospital. Patientsû ages ranged from 3.3 to 14.4 years old. Only two patients (40%) had angina. Internal thoracic artery was used as a bypass graft in most patients and postoperative course was uneventful. Coronary bypass operation is a safe and reliable surgical modality for coronary artery sequelae in children with Kawasaki disease. A long-term follow-up is necessary to study the long-term outcome of bypass.
Keywords : Kawasaki disease, Coronary artery bypass graft (CABG)
