title: Pediatric Coronary Artery Revascularization Surgery: Development and Effects on Survival, Cardiac Events and Graft Patency for Children With Kawasaki Disease Coronary Involvements.
abstract: Pediatric coronary artery bypass surgery gained wide acceptance with the introduction of internal thoracic arteries (ITAs) for bypass operations for post Kawasaki disease (KD) lesions. The technique is now established as the standard surgical choice, and its safety even in infancy, graft patency, growth potential, graft longevity and clinical efficacy have been well documented. In this article the author reviews the development of pediatric coronary bypass as the main indication for the treatment of coronary lesions due to KD. I believe that coronary revascularization surgery in pediatric population utilizing uni- or bilateral ITAs is the current gold-standard as the most reliable treatment, although percutaneous coronary intervention with or without a stent has been tried with vague long-term results in children.
authors: National Cerebral and Cardiovascular Center, Osaka, Japan.
authors: Soichiro
authors: S
authors: Kitamura
keywords: Cardiac Events; Coronary Bypass; Graft Patency; ITA (Internal Thoracic Artery); Kawasaki Disease; Long-Term Survival; Pediatrics; Saphenous Vein Graft