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Ann Thorac Surg 1988;46:459-461
© 1988 The Society of Thoracic Surgeons


Articles

Surgical Management of Coronary Insufficiency in a Child with Kawasaki's Disease: Use of Bilateral Internal Mammary Arteries

John L. Myers, M.D.*, Marie M. Gleason, M.D., Stephen E. Cyran, M.D., Barry G. Baylen, M.D.

Division of Cardiothoracic Surgery, the Department of Surgery, and the Division of Pediatric Cardiology, the Department of Pediatrics, Pennsylvania State University, Hershey, PA

Accepted for publication May 10, 1988.

* Address reprint requests to Dr. Myers, Department of Surgery, The Milton S. Hershey Medical Center, Pennsylvania State University, P.O. Box 850, Hershey, PA 17033

Coronary insufficiency is an important sequela of Kawasaki's disease. Successful myocardial revascularization with saphenous vein grafts and, more recently, with internal mammary artery grafts has been performed. We report a case of Kawasaki's disease with chronic coronary insufficiency in which complete myocardial revascularization was accomplished using bilateral internal mammary arteries, and we present a review of the literature.




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