title: Redo off-pump coronary bypass grafting with arterial grafts for Kawasaki disease.
abstract: Surgical revascularization for coronary artery lesions secondary to Kawasaki disease is relatively uncommon. The late stenosis of the saphenous vein graft is the problem to be solved. We report a case of redo off-pump coronary bypass grafting in a 35-year-old man, 20 years after bypass grafting using a saphenous vein graft. Off-pump total arterial revascularization was performed uneventfully. The procedure comprised grafting of bilateral internal thoracic arteries to left anterior descending branch and obtuse marginal branch, and radial artery to AV branch and posterior descending branch. Off-pump total arterial revascularization is a safe and less invasive procedure at the time of redo operation, even for patients with Kawasaki disease.
authors.affiliation: Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Matsuura
authors.forename: Junjiro
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Ko
authors.initials: K
authors.lastname: Bando
authors.forename: Kazuo
authors.initials: K
authors.lastname: Niwaya
authors.forename: Osamu
authors.initials: O
authors.lastname: Tagusari
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakajima
authors.forename: Soichiro
authors.initials: S
authors.lastname: Kitamura
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D023921:Coronary Stenosis / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000601:surgery; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation