Coronary artery bypass grafting in children aged under 1 year: a report of three cases
Toshi Maeda1, Kosuke Yoshizawa1, Otohime Mori1
1Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, 660-8550, Japan.
Insights
Coronary artery bypass grafting using the internal thoracic artery is feasible in infants. Early surgical intervention for myocardial ischemia in infants can be life-saving, though long-term outcomes require further study.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Surgery
- Infant Cardiac Care
Background:
- Congenital heart defects and acquired conditions can lead to myocardial ischemia in infants.
- Limited surgical options exist for severe pediatric myocardial ischemia.
- The internal thoracic artery is a potential conduit for coronary artery bypass grafting.
Observation:
- Three infants underwent coronary artery bypass grafting (CABG) utilizing the internal thoracic artery.
- All internal thoracic artery grafts remained patent post-operatively.
- One patient experienced mortality due to chronic heart failure.
Findings:
- Coronary artery bypass grafting is technically achievable in the infant population.
- Internal thoracic artery grafts demonstrate patency in infants.
- Early surgical intervention for myocardial ischemia in infants is a viable strategy.
Implications:
- Infantile coronary artery bypass grafting may offer a therapeutic option for myocardial ischemia.
- Further research is needed to establish long-term efficacy and safety profiles.
- Timely surgical management can potentially improve outcomes for infants with critical cardiac conditions.
Abstract:
We performed coronary artery bypass grafting with the internal thoracic artery in three infants. Grafts were patent in all cases. One patient was lost due to chronic heart failure. Coronary artery bypass grafting can be performed even in infancy, and early surgical intervention may be necessary when myocardial ischaemia is recognised.
