Das Mrinalendu, Narayan Pradeep
Department of Cardiac Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, 124, EM Bypass, Mukundapur, Kolkata, 700099 India.
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):155-164. doi: 10.1007/s12055-020-00946-9. Epub 2020 Mar 27.
Coronary artery involvement in children is an uncommon but well-recognized clinical entity. It is an important cause for sudden cardiac death in children. Diagnosis requires a high index of suspicion since it has serious consequences when missed. Presentation of coronary artery abnormality is very variable due to congenital as well as acquired aetiology. In this review, we have described the different causes that require coronary artery bypass grafting in children and their pathogenesis. The nuances of conduit selection, graft behaviour in children, patency rates and long-term outcomes in children undergoing coronary artery bypass have also been discussed.
儿童冠状动脉受累是一种罕见但已得到充分认识的临床病症。它是儿童心源性猝死的重要原因。由于漏诊会产生严重后果，因此诊断需要高度的怀疑指数。由于先天性以及后天性病因，冠状动脉异常的表现差异很大。在本综述中，我们描述了儿童需要冠状动脉搭桥术的不同原因及其发病机制。还讨论了管道选择的细微差别、儿童移植物的特性、通畅率以及接受冠状动脉搭桥术儿童的长期预后。
