Thorac Cardiovasc Surg 2010; 58(6): 359-360
DOI: 10.1055/s-0029-1240808
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Internal Mammary Artery Grafting for Coronary Hypoperfusion in Children

C. Vuran1 , P. Simon2 , G. Wollenek2
  • 1Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
  • 2Department of Cardiovascular Surgery, Vienna University, Vienna, Austria
Further Information

Publication History

received August 28, 2009

Publication Date:
07 September 2010 (online)

Abstract

Background: Pediatric coronary artery bypass is performed for ischemic complications of Kawasaki disease, congenital coronary anomalies, and iatrogenic pediatric coronary artery problems. Methods: We performed myocardial revascularization using the internal mammary artery in 6 children. A review of outcomes is presented here. Patient ages ranged from 7 days to 10 years. Results: There was no operative mortality. All coronary bypass grafts were patent at 3 months to 3 years postoperatively. No patient had recurrent angina or showed signs of myocardial ischemia. Conclusion: Internal mammary artery bypass grafting can be successfully performed in infants and children with good results. Long-term patency and growth of the anastomosis of the distal vessel are not clear, but good clinical and angiographic results have been reported even after 25 years.

References

  • 1 Brackenbury E, Gardiner H, Chan K, Hickey M. Internal mammary artery to coronary bypass in pediatric cardiac surgery.  Eur J Cardiothorac Surg. 1998;  14 (6) 639-642
  • 2 Mavroudis C, Backer C L, Muster A J et al. Expanding indications for pediatric coronary artery bypass.  J Thorac Cardiovasc Surg. 1996;  111 181-189
  • 3 Galbut D L, Traad E A, Dormen M J et al. Twelve year experience with bilateral internal mammary artery bypass grafts.  Ann Thorac Surg. 1985;  40 264-270
  • 4 Kitamura S, Kawashima Y, Fujita Y et al. Aortocoronary bypass grafting in a child with coronary artery obstruction due to mucocutaneus lymph node syndrome.  Circulation. 1976;  53 (6) 1035-1040
  • 5 Kitamura S, Tsuda E, Kobayashi J et al. Twenty-five year outcome of pediatric coronary artery bypass surgery for Kawasaki disease.  Circulation. 2009;  120 60-68
  • 6 Rheuban K S, Kron I L, Bulatovic A. Internal mammary artery bypass after the arterial switch operation.  Ann Thorac Surg. 1990;  50 125-126
  • 7 Grabitz R G, Messmer B J, Seghaye M C, Engelhardt W, Muhler E. Internal mammary artery bypass graft for impaired coronary perfusion after neonatal arterial switch operation.  Eur J Cardiothorac Surg. 1992;  6 338-390
  • 8 Balasundaram S, Kumar N, Al Halees Z, Wilson N. Left internal thoracic artery bypass graft in arterial switch with coronary transfer for transposition of the great arteries.  Int J Cardiaol Surg. 1992;  36 121-123

Dr. Can Vuran

Cardiovascular Surgery
Baskent University

Oymaci Street 7

Altunizade-Uskudar

34662 Istanbul

Turkey

Phone: +90 21 65 54 15 00

Fax: +90 21 66 51 98 58

Email: canvuran@hotmail.com