Key result
Emergency all-arterial anaortic off-pump CABG demonstrates safety and excellent graft patency in a single case.
Why the study?
Long-term management of Kawasaki disease patients as they transition into adulthood remains a clinical challenge despite IVIG therapy reducing pediatric coronary complications.
Case Report (n=1)
No
Emergency all-arterial anaortic OPCABG is a feasible and effective surgical strategy for managing acute coronary syndrome in adult survivors of Kawasaki disease with complex calcified coronary aneurysms.
Suggests feasibility of emergency all-arterial anaortic off-pump CABG in Kawasaki disease survivors with ACS; leaves open need for larger studies before broader adoption.
INTRODUCTION: Kawasaki disease (KD) is a leading cause of acquired heart disease in children. Although intravenous immunoglobulin (IVIG) therapy significantly reduces coronary complications, long-term management of these patients as they transition into adulthood remains a clinical challenge. We report a rare case of a 52-year-old patient from the first generation of IVIG-treated survivors of KD who required emergency surgical intervention for acute coronary syndrome (ACS).
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Saito et al. (2026) conducted a case report in Acute Coronary Syndrome and Kawasaki Disease (n=1). Emergency all-arterial anaortic off-pump coronary artery bypass grafting was evaluated on Postoperative course and graft patency. Emergency all-arterial anaortic off-pump coronary artery bypass grafting was safely and effectively performed, resulting in an uneventful postoperative course and excellent graft patency.
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