Title
Coronary artery bypass grafting in pediatric patients: English edition edited by Nadia Tayeb M.D.,Used
Delivery time: 8-12 business days (International)
Pediatric coronary artery bypass grafting (PCABG) together with other coronary artery (OCAP) procedures has been rarely employed to treat congenital and iatrogenic CA problems. We sought to evaluate hospital and followup outcome of patients requiring myocardial revascularization in the pediatric age. From 1969 to 2011, 66 patients from 13 ECHSA centres underwent 71 PCABGs. Median age at the time of OCAP was 2.4 years (range 2 days18 years). Graft material included: left internal mammary artery (n=50), right internal mammary artery (n=12) and saphenous vein (n=9). 11 patients (16%) died in hospital. 15 patients required a postoperative mechanical circulatory support. Median followup time was 9.5 years (range 0.923 years). Four patients died late after a median time of 2,5 years (range 9 months 8,8 years) from PCABG procedure. Fortytwo of the survivors (42/51, 82,3%) underwent a control coronary angiography and patency was demonstrated in 34 of them (66%). PCABG and OCAP are suitable surgical options in a pediatic patients with impaired myocardial perfusion, following iatrogenic and/or congenital CA stenosis, which increases operative and midterm survival.
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