Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction

Kawasaki disease (KD) is a rare disease and its etiology is unknown. The majority of patients with KD are children under the age of 5. The injury of the coronary arteries (CA) in the acute period of the KD is accompanied by the formation of giant aneurysms of the proximal coronary arteries. In 16 %...

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Autores principales:	V. A. Podkamennyi, V. N. Medvedev, L. V. Bregel, V. M. Subbotin
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	kawasaki disease nepionic age off-pump mammary-coronary bypass acute myocardial infarction Science Q
Acceso en línea:	https://doaj.org/article/dc61ba7e88974ff585597d906b6bd12e
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spelling	oai:doaj.org-article:dc61ba7e88974ff585597d906b6bd12e2021-11-23T06:14:37ZOff-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction2541-94202587-959610.12737/article_59f035f96160f5.10738166https://doaj.org/article/dc61ba7e88974ff585597d906b6bd12e2017-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/385https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Kawasaki disease (KD) is a rare disease and its etiology is unknown. The majority of patients with KD are children under the age of 5. The injury of the coronary arteries (CA) in the acute period of the KD is accompanied by the formation of giant aneurysms of the proximal coronary arteries. In 16 % of patients, the course of KD may be complicated by acute myocardial infarction (AMI). Mortality with the first AMI is 22 %, with a repeated one - 66 %, and with the third - 87 %. The average period between the debuting of KD and the operation is 8 years. There is no data about the operation in the early stages of KD and with AMI. There are very few observations of successful operations of the left anterior descending artery (LAD) with using of to left anterior descending (LIMA), in children with KD since the age of two were published. This report presents the clinical case of the successful off-pump coronary artery bypass of LAD with using LIMA in an infant aged 5.5 months with KD. The operation was performed in a less than 1 month from the onset of the disease and 12 days by the AMI. After 7.5 months after the operation, the restoration of blood flow in the LAD and the termination of competitive blood flow through the graft are noted. In 8 years after the operation, the child develops according to age.V. A. PodkamennyiV. N. MedvedevL. V. BregelV. M. SubbotinScientific Сentre for Family Health and Human Reproduction Problemsarticlekawasaki diseasenepionic ageoff-pump mammary-coronary bypassacute myocardial infarctionScienceQRUActa Biomedica Scientifica, Vol 2, Iss 3, Pp 27-31 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	kawasaki disease nepionic age off-pump mammary-coronary bypass acute myocardial infarction Science Q
spellingShingle	kawasaki disease nepionic age off-pump mammary-coronary bypass acute myocardial infarction Science Q V. A. Podkamennyi V. N. Medvedev L. V. Bregel V. M. Subbotin Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
description	Kawasaki disease (KD) is a rare disease and its etiology is unknown. The majority of patients with KD are children under the age of 5. The injury of the coronary arteries (CA) in the acute period of the KD is accompanied by the formation of giant aneurysms of the proximal coronary arteries. In 16 % of patients, the course of KD may be complicated by acute myocardial infarction (AMI). Mortality with the first AMI is 22 %, with a repeated one - 66 %, and with the third - 87 %. The average period between the debuting of KD and the operation is 8 years. There is no data about the operation in the early stages of KD and with AMI. There are very few observations of successful operations of the left anterior descending artery (LAD) with using of to left anterior descending (LIMA), in children with KD since the age of two were published. This report presents the clinical case of the successful off-pump coronary artery bypass of LAD with using LIMA in an infant aged 5.5 months with KD. The operation was performed in a less than 1 month from the onset of the disease and 12 days by the AMI. After 7.5 months after the operation, the restoration of blood flow in the LAD and the termination of competitive blood flow through the graft are noted. In 8 years after the operation, the child develops according to age.
format	article
author	V. A. Podkamennyi V. N. Medvedev L. V. Bregel V. M. Subbotin
author_facet	V. A. Podkamennyi V. N. Medvedev L. V. Bregel V. M. Subbotin
author_sort	V. A. Podkamennyi
title	Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
title_short	Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
title_full	Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
title_fullStr	Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
title_full_unstemmed	Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction
title_sort	off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with kawasaki disease complicated with acute myocardial infarction
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/dc61ba7e88974ff585597d906b6bd12e
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Off-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarction

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