Why the study?
What are the long-term outcomes of pediatric coronary artery bypass surgery for Kawasaki disease?
What are the long-term outcomes of pediatric coronary artery bypass surgery for Kawasaki disease?
Pediatric coronary artery bypass surgery for Kawasaki disease offers excellent 25-year survival, particularly with internal thoracic artery grafts, though progressive decline in event-free rates necessitates lifelong follow-up.
Supports ITA grafting preference in pediatric Kawasaki bypass; leaves open optimal strategies to sustain long-term event-free survival.
Although the 25-year survival was excellent after pediatric coronary bypass for Kawasaki disease, the event-free rate declined progressively. This reality mandated continued follow-up. Reinterventions successfully managed most cardiac events. An internal thoracic artery graft was the most favorable for children.
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Kitamura et al. (2009) studied this question.
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