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The Annals of Thoracic Surgery, Vol 50, 294-296, Copyright © 1990 by The Society of Thoracic Surgeons


ARTICLES

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

Y Takeuchi, A Gomi, Y Okamura, H Mori and M Nagashima
Department of Cardiovascular Surgery, Kanto-Teishin Hospital, Tokyo, 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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