State-of-the-Art Pediatric Coronary Artery Bypass Surgery: a Literature Review

被引:6
|
作者
Komarov, Roman [1 ]
Ismailbaev, Alisher [1 ]
Chragyan, Vagi [2 ]
Kadyraliev, Bakytbek [2 ]
Sa, Michel Pompeu B. O. [3 ]
Ruhparwar, Arjang [4 ]
Weymann, Alexander [4 ]
Zhigalov, Konstantin [4 ]
机构
[1] First Moscow State Med Univ, IM Sechenov Univ Hosp, Dept Cardiovasc Surg, Bolshaya Pirogovskaya St 6, Moscow 119435, Russia
[2] EA Vagner Perm State Med Univ, SG Sukhanov Fed Ctr Cardiovasc Surg, Dept Cardiovasc Surg, Perm, Russia
[3] Pronto Socorro Cardiol Pernambuco PROCAPE, Dept Cardiovasc Surg, Recife, PE, Brazil
[4] Univ Duisburg Essen, Univ Hosp Essen, West German Heart & Vasc Ctr Essen, Dept Thorac & Cardiovasc Surg, Essen, Germany
关键词
Mammary Arteries; Coronary Vessels; Mucocutaneous Lymph Node Syndrome; Arterial Switch Operation; Pulmonary Artery; Transposition of Great Vessels; Coronary Artery Bypass; Myocardial Revascularization; Heart Defects; Congenital; latrogenic Disease; INTERNAL THORACIC ARTERY; SAPHENOUS-VEIN GRAFT; KAWASAKI-DISEASE; FAMILIAL HYPERCHOLESTEROLEMIA; SURGICAL-TREATMENT; GIANT ANEURYSMS; STENOSIS; REVASCULARIZATION; CHILDREN; SWITCH;
D O I
10.21470/1678-9741-2019-0366
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To examine the results of various myocardial revascularization techniques in pediatric patients to better understand the strategies for surgical treatment of coronary artery pathologies. Methods: We analyzed 61 publications dedicated to the indications, methods, and results of coronary bypass surgery in children. Due to the small size of this cohort, case reports are also included in our review. Results: The main indications for coronary bypass grafting in children are Kawasaki disease, myocardial revascularization as a necessary procedure during the congenital cardiac surgery, to manage intraoperative iatrogenic damage to coronary arteries, and homozygous familial hypercholesterolemia. The use of internal thoracic arteries as conduits for coronary bypass grafting in children with Kawasaki disease showed significantly better results in long-term functionality compared to autovenous conduits (87% and 44%, respectively, P<0.001). Acute and late coronary events after arterial switch operation for the transposition of the great arteries, anomalous origin of the left coronary artery from the pulmonary artery, and left main coronary artery atresia are the main congenital heart diseases where surgical correction involves interventions on the coronary arteries. Conclusion: The internal thoracic artery is a reliable and durable conduit that demonstrates proven growth potential in children.
引用
收藏
页码:539 / 548
页数:10
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