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Long-Term Outcomes After Pediatric CABG, Aneurysm Resection, and Mitral Valve Repair in a 20-Month-Old Infant
Mohamed Salem1, Uygar Yörüker1, Klaus Valeske1
1Pediatric Heart Centre of the University Hospital of Giessen, Giessen, Germany.
Insights
Pediatric coronary artery bypass grafting (CABG) using arterial grafts like the left internal mammary artery (LIMA) to the left anterior descending artery (LAD) shows long-term success in children. Early surgical intervention improves outcomes for pediatric coronary insufficiency.
Area of Science:
- Pediatric Cardiac Surgery
- Cardiovascular Research
- Pediatric Cardiology
Background:
- Pediatric coronary artery bypass grafting (CABG) is a rare but critical intervention.
- Thrombotic coronary occlusion necessitates surgical consideration in pediatric patients.
- Coronary artery disease in infants presents unique challenges.
Background:
Pediatric coronary artery bypass grafting (CABG) is rare but may be necessary in cases of thrombotic coronary occlusion.
Case Summary:
We report the case of a 20-month-old infant with myocardial infarction, large apical aneurysm, and mitral regurgitation who underwent left internal mammary artery (LIMA)-to-left anterior descending artery (LAD) bypass, ventricular aneurysm resection, and mitral valve repair. The postoperative course was without complication. Over a nearly 10-year follow-up, the patient showed excellent clinical outcomes, with normal ventricular function and proportional graft growth.
Discussion:
This case highlights the long-term success of arterial grafting in a growing child. The literature supports the use of LIMA-to-LAD bypass in pediatric CABG owing to its adaptability and patency. Our case supports early diagnosis and surgical intervention for pediatric coronary insufficiency.
Take-Home Message:
Pediatric CABG with LIMA-to-LAD bypass can offer long-term graft patency and functional recovery, supporting its role in complex pediatric coronary disease.
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