Fridman Michael D, Owada Carl Y, Gregory Richard D, Birnbaum Peter L
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Valley Children's Hospital, Madera, California.
Ann Thorac Surg. 2017 Oct;104(4):e307-e309. doi: 10.1016/j.athoracsur.2017.04.041.
A 14-year-old male patient with a history of atypical Kawasaki disease at age 2 presents with triple vessel giant coronary aneurysms. Over the last several years, he began experiencing angina and dyspnea on exertion, which was a result of fully occluded right coronary and left circumflex arteries and 90% stenosis in the left anterior descending artery. He underwent off-pump coronary artery bypass using the left and right internal mammary arteries. At 18-month follow-up, there is no evidence of ischemia. Off-pump bypass is a feasible option for surgical management of the stenotic and occlusive complications of Kawasaki disease.
一名14岁男性患者，2岁时曾患非典型川崎病，现出现三支血管巨大冠状动脉瘤。在过去几年里，他开始在运动时出现心绞痛和呼吸困难，这是由于右冠状动脉和左旋支动脉完全闭塞以及左前降支动脉90%狭窄所致。他接受了使用左、右乳内动脉的非体外循环冠状动脉搭桥术。在18个月的随访中，没有缺血的证据。非体外循环搭桥术是川崎病狭窄和闭塞性并发症手术治疗的一种可行选择。
