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Akihiko Gomi
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Hideaki Mori
Mitsugi Nagashima
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Ann Thorac Surg 1990;50:294-296
© 1990 The Society of Thoracic Surgeons

Articles

Coronary revascularization in a child with Kawasaki disease: Use of right gastroepiploic artery

Yasuo Takeuchi, MD*, Akihiko Gomi, MD, Yoshitaka Okamura, MD, Hideaki Mori, MD, Mitsugi Nagashima, MD

Department of Cardiovascular Surgery, Kanto-Teishin Hospital, Tokyo, Japan

Accepted for publication April 2, 1990.

* Address reprint requests to Dr Takeuchi, Department of Cardiovascular Surgery, Kanto-Teishin Hospital, 5-9-22, Higashi-Gotanda, Shinagawa-Ku, Tokyo 141, Japan.

In coronary insufficiency produced by Kawasaki disease, myocardial revascularization using saphenous vein, internal mammary arteries, and a combination of both grafts has been performed with considerable success. Recently, we successfully used a right gastroepiploic artery as another conduit in coronary revascularization of a 6-year-old boy with Kawasaki disease. Use of the gastroepiploic artery was feasible even in a small child, and this technique is expected to contribute to long-term graft patency as an arterial graft adjunct to internal mammary arteries.




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