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Off-pump coronary bypass grafting for kawasaki disease


Department of Pediatric Cardiology and Cardiovascular Thoracic Surgery, International Institute of Cardiovascular and Thoracic Surgery, Frontier Life Line Hospital, Dr. K. M Cherian Heart Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
Sudeep Verma
International Institute of Cardiovascular and Thoracic Surgery, Frontier Life Line Hospital, Dr. K. M Cherian Heart Foundation, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74058

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Year : 2010  |  Volume : 3  |  Issue : 2  |  Page : 190-192

 

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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.






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Department of Pediatric Cardiology and Cardiovascular Thoracic Surgery, International Institute of Cardiovascular and Thoracic Surgery, Frontier Life Line Hospital, Dr. K. M Cherian Heart Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
Sudeep Verma
International Institute of Cardiovascular and Thoracic Surgery, Frontier Life Line Hospital, Dr. K. M Cherian Heart Foundation, Chennai, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74058

Rights and Permissions

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.






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