National survey of coronary artery bypass grafting for coronary stenosis caused by Kawasaki disease in Japan.

Abstract:

BACKGROUND:We surveyed the national experience of coronary artery bypass grafting (CABG) for coronary sequelae of Kawasaki disease (kDa) in 2002. METHODS AND RESULTS:A questionnaire was returned from 323/552 (59%) institutions. Two hundred forty-four patients (188 male 56 female) since 1975 were identified. The mean number of grafts was 1.8 and the age at operation ranged from 1 to 44 years (median 11 years). The interval from the onset of kDa to operation ranged from 1 month to 42 years (median 8 years), whereas the follow-up period was from 7 days to 25 years (median 5 years). Previous myocardial infarction was found in 70 patients (28%). When the age at operation was older than 12 years, patency rates for internal thoracic artery grafts (ITA) at 1, 5, and 15 years were 95%, 91%, and 91%, respectively (n=156). When the age at operation was younger than 12 years, the corresponding values were significantly lower, with 1, 5, and 15 years being 93%, 73%, and 65%, respectively (n=146) (P<0.05). Reoperation was performed in 14 patients (6%). Death occurred in 15 patients (6%). Nine of the 14 late deaths were sudden. Six of 8 patients with a left ventricular ejection fraction (LVEF) <40% died. CONCLUSIONS:The results of ITA in those aged 12 years or older were favorable. LVEF influenced prognosis.

journal_name

Circulation

journal_title

Circulation

authors

Tsuda E,Kitamura S,Cooperative Study Group of Japan.

doi

10.1161/01.CIR.0000138194.61225.10

subject

Has Abstract

pub_date

2004-09-14 00:00:00

pages

II61-6

issue

11 Suppl 1

eissn

0009-7322

issn

1524-4539

pii

110/11_suppl_1/II-61

journal_volume

110

pub_type

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