Coronary Artery Bypass Grafting for Coronary Aneurysms due to Kawasaki Disease

Hiroyuki Tanaka, MD,1 Takashi Narisawa, MD,1 Jirou Hirano, MD,1 Takashi Suzuki, MD,1 Fuyuki Asano, MD,2 Bunken Ebato, MD,2 Yoichi Takeyama, MD,2 and Toshihiro Takaba, MD3

We report a 23-year-old man who underwent coronary artery bypass grafting (CABG) for coronary aneurysms associated with Kawasaki disease using the left internal thoracic artery (LITA) and right gastroepiploic artery (RGEA) after a second myocardial infarction (MI). Preoperatively, this patient showed repetitive occlusion and recanalization of coronary artery flow without coronary stenosis. Indication of bypass surgery in Kawasaki disease is usually associated with stenosis. However, even an aneurysm alone should be an indication of surgery if there is any kind of ischemic event. (Ann Thorac Cardiovasc Surg 2001; 7: 307-310)

Key words: Kawasaki disease, coronary aneurysm, coronary artery bypass grafting

From the Departments of 1Thoracic and Cardiovascular Surgery and 2Cardiology, Showa University Fujigaoka Hospital, Yokohama and 3First Department of Surgery, Showa University, Tokyo, Japan

Received January 15, 2001; accepted for publication March 30, 2001
Address reprint requests to Hiroyuki Tanaka, MD: Department of Thoracic Cardiovascular Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, 227-8501, Japan.