Coronary Artery Bypass Grafting in an Infant after an Arterial Switch Operation
Coronary artery bypass grafting (CABG) is rarely performed in infants because of its technical difficulty and unclear long-term results. A 90-day-old male infant weighing 3.5 kg who underwent an arterial switch operation (ASO) for transposition of the great arteries developed left coronary artery...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2021-04-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| Summary: | Coronary artery bypass grafting (CABG) is rarely performed in infants because of its technical
difficulty and unclear long-term results. A 90-day-old male infant weighing 3.5 kg
who underwent an arterial switch operation (ASO) for transposition of the great arteries
developed left coronary artery insufficiency despite augmentation and reimplantation of
the left coronary button. On-pump beating heart CABG was performed using an internal
mammary artery graft to revascularize the left anterior descending artery. Postoperative
computed tomography angiography revealed that the graft was patent. At 7 months postoperatively,
the patient weighed 8.5 kg, and echocardiography revealed good ventricular
function. CABG can be an alternative treatment for post-ASO coronary complications in
early infancy. |
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| ISSN: | 2765-1606 2765-1614 |