Aortocoronary bypass grafting in a child with coronary artery obstruction due to mucocutaneous lymphnode syndrome: report of a case.
Identifieur interne : 010306 ( Main/Exploration ); précédent : 010305; suivant : 010307Aortocoronary bypass grafting in a child with coronary artery obstruction due to mucocutaneous lymphnode syndrome: report of a case.
Auteurs : S. Kitamura ; Y. Kawashima ; T. Fujita ; T. Mori ; C. OyamaSource :
- Circulation [ 0009-7322 ] ; 1976.
Descripteurs français
- KwdFr :
- Angiocardiographie, Artériopathies oblitérantes (), Artériopathies oblitérantes (imagerie diagnostique), Cathétérisme cardiaque, Contraction myocardique, Enfant d'âge préscolaire, Humains, Infarctus du myocarde (), Lymphadénite (), Lymphoedème (), Maladie coronarienne (), Maladie coronarienne (imagerie diagnostique), Muqueuse, Mâle, Pontage aortocoronarien (), Rythme cardiaque, Électrocardiographie.
- MESH :
- imagerie diagnostique : Artériopathies oblitérantes, Maladie coronarienne.
- Angiocardiographie, Artériopathies oblitérantes, Cathétérisme cardiaque, Contraction myocardique, Enfant d'âge préscolaire, Humains, Infarctus du myocarde, Lymphadénite, Lymphoedème, Maladie coronarienne, Muqueuse, Mâle, Pontage aortocoronarien, Rythme cardiaque, Électrocardiographie.
English descriptors
- KwdEn :
- Angiocardiography, Arterial Occlusive Diseases (diagnostic imaging), Arterial Occlusive Diseases (surgery), Cardiac Catheterization, Child, Preschool, Coronary Artery Bypass (methods), Coronary Disease (diagnostic imaging), Coronary Disease (surgery), Electrocardiography, Heart Rate, Humans, Lymphadenitis (complications), Lymphedema (complications), Male, Mucous Membrane, Myocardial Contraction, Myocardial Infarction (surgery).
- MESH :
- complications : Lymphadenitis, Lymphedema.
- diagnostic imaging : Arterial Occlusive Diseases, Coronary Disease.
- methods : Coronary Artery Bypass.
- surgery : Arterial Occlusive Diseases, Coronary Disease, Myocardial Infarction.
- Angiocardiography, Cardiac Catheterization, Child, Preschool, Electrocardiography, Heart Rate, Humans, Male, Mucous Membrane, Myocardial Contraction.
Abstract
A four-year-old boy with a myocardial infarct and total occlusion of the right coronary and the left anterior descending coronary arteries due to mucocoutaneous lymphnode syndrome (MCLS). confirmed by selective coronary arteriography, underwent successful double aortocoronary bypass grafting. Patency of the grafts was demonstrated by graft angiography and the improvement of the contractile pattern of the left ventricle was reflected by the increase in ejection fraction from 0.45 to 0.61. This is the first patient successfully treated by aortocoronary bypass grafting for coronary artery obstructive lesions due to MCLS. This experience has demonstrated the feasibility of surgical management in a child with coronary artery obstruction due to MCLS. However, there are unanswered questions regarding the fate of the saphenous vein graft in relation to the growth of a child. Long-term clinical and angiographic follow-ups are mandatory to determine the significance of this mode of surgical treatment for the sequela of MCLS.
PubMed: 1083781
Affiliations:
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Le document en format XML
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<author><name sortKey="Fujita, T" sort="Fujita, T" uniqKey="Fujita T" first="T" last="Fujita">T. Fujita</name>
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<author><name sortKey="Mori, T" sort="Mori, T" uniqKey="Mori T" first="T" last="Mori">T. Mori</name>
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<author><name sortKey="Oyama, C" sort="Oyama, C" uniqKey="Oyama C" first="C" last="Oyama">C. Oyama</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Aortocoronary bypass grafting in a child with coronary artery obstruction due to mucocutaneous lymphnode syndrome: report of a case.</title>
<author><name sortKey="Kitamura, S" sort="Kitamura, S" uniqKey="Kitamura S" first="S" last="Kitamura">S. Kitamura</name>
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<author><name sortKey="Kawashima, Y" sort="Kawashima, Y" uniqKey="Kawashima Y" first="Y" last="Kawashima">Y. Kawashima</name>
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<author><name sortKey="Fujita, T" sort="Fujita, T" uniqKey="Fujita T" first="T" last="Fujita">T. Fujita</name>
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<author><name sortKey="Mori, T" sort="Mori, T" uniqKey="Mori T" first="T" last="Mori">T. Mori</name>
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<series><title level="j">Circulation</title>
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<term>Arterial Occlusive Diseases (diagnostic imaging)</term>
<term>Arterial Occlusive Diseases (surgery)</term>
<term>Cardiac Catheterization</term>
<term>Child, Preschool</term>
<term>Coronary Artery Bypass (methods)</term>
<term>Coronary Disease (diagnostic imaging)</term>
<term>Coronary Disease (surgery)</term>
<term>Electrocardiography</term>
<term>Heart Rate</term>
<term>Humans</term>
<term>Lymphadenitis (complications)</term>
<term>Lymphedema (complications)</term>
<term>Male</term>
<term>Mucous Membrane</term>
<term>Myocardial Contraction</term>
<term>Myocardial Infarction (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Angiocardiographie</term>
<term>Artériopathies oblitérantes ()</term>
<term>Artériopathies oblitérantes (imagerie diagnostique)</term>
<term>Cathétérisme cardiaque</term>
<term>Contraction myocardique</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Infarctus du myocarde ()</term>
<term>Lymphadénite ()</term>
<term>Lymphoedème ()</term>
<term>Maladie coronarienne ()</term>
<term>Maladie coronarienne (imagerie diagnostique)</term>
<term>Muqueuse</term>
<term>Mâle</term>
<term>Pontage aortocoronarien ()</term>
<term>Rythme cardiaque</term>
<term>Électrocardiographie</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphadenitis</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arterial Occlusive Diseases</term>
<term>Coronary Disease</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Artériopathies oblitérantes</term>
<term>Maladie coronarienne</term>
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<term>Coronary Disease</term>
<term>Myocardial Infarction</term>
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<keywords scheme="MESH" xml:lang="en"><term>Angiocardiography</term>
<term>Cardiac Catheterization</term>
<term>Child, Preschool</term>
<term>Electrocardiography</term>
<term>Heart Rate</term>
<term>Humans</term>
<term>Male</term>
<term>Mucous Membrane</term>
<term>Myocardial Contraction</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Angiocardiographie</term>
<term>Artériopathies oblitérantes</term>
<term>Cathétérisme cardiaque</term>
<term>Contraction myocardique</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Infarctus du myocarde</term>
<term>Lymphadénite</term>
<term>Lymphoedème</term>
<term>Maladie coronarienne</term>
<term>Muqueuse</term>
<term>Mâle</term>
<term>Pontage aortocoronarien</term>
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<front><div type="abstract" xml:lang="en">A four-year-old boy with a myocardial infarct and total occlusion of the right coronary and the left anterior descending coronary arteries due to mucocoutaneous lymphnode syndrome (MCLS). confirmed by selective coronary arteriography, underwent successful double aortocoronary bypass grafting. Patency of the grafts was demonstrated by graft angiography and the improvement of the contractile pattern of the left ventricle was reflected by the increase in ejection fraction from 0.45 to 0.61. This is the first patient successfully treated by aortocoronary bypass grafting for coronary artery obstructive lesions due to MCLS. This experience has demonstrated the feasibility of surgical management in a child with coronary artery obstruction due to MCLS. However, there are unanswered questions regarding the fate of the saphenous vein graft in relation to the growth of a child. Long-term clinical and angiographic follow-ups are mandatory to determine the significance of this mode of surgical treatment for the sequela of MCLS.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Fujita, T" sort="Fujita, T" uniqKey="Fujita T" first="T" last="Fujita">T. Fujita</name>
<name sortKey="Kawashima, Y" sort="Kawashima, Y" uniqKey="Kawashima Y" first="Y" last="Kawashima">Y. Kawashima</name>
<name sortKey="Kitamura, S" sort="Kitamura, S" uniqKey="Kitamura S" first="S" last="Kitamura">S. Kitamura</name>
<name sortKey="Mori, T" sort="Mori, T" uniqKey="Mori T" first="T" last="Mori">T. Mori</name>
<name sortKey="Oyama, C" sort="Oyama, C" uniqKey="Oyama C" first="C" last="Oyama">C. Oyama</name>
</noCountry>
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