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The long term result of grafted saphenous veins in children with kawasaki disease


, : The long term result of grafted saphenous veins in children with kawasaki disease. Journal of the Japanese Association for Thoracic Surgery 35(1): 54-60

Aortocoronary bypass surgery was performed on eleven children with Kawasaki disease, ranging 5 to 13 years old. Nine cases were bypassed using autologous saphenous vein and left internal mammary artery was utilized in recent two cases. Operative result was gratifying with no death and graft patency one month after surgery was 88% (n = 11). Seven cases with saphenous vein grafts have been followed more than five years and graft patency in those cases at one month, 2-3 years and 5-9 years was 91%, 55% and 55% respectively. Extensive intimal proliferation was considered to be one of the major causes in early graft attrition (graft patency: 91% at one month .fwdarw. 55% at 2-3 years). But those grafts which didn't result early graft failure seemed to have high chance of long term graft patency (55% at 2-3 years .fwdarw. 55% at 5-9 years). And despite of considerable patients growth, there are several grafts which adjusted their lumen and length in this interval. More technical improvement in saphenous vein bypass grafting combined with usage of internal mammary artery will result higher long term graft patency in aortocoronary bypass surgery in the children with Kawasaki disease.

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