全动脉冠状动脉旁路移植术治疗儿童川崎病后冠状动脉瘤1例并文献复习

doi:10.6040/j.issn.1671-7554.0.2024.0809

摘要/Abstract

摘要： 目的报道1例川崎病后并发巨大冠状动脉瘤患儿经全动脉冠状动脉旁路移植术(Coronary artery bypass graft, CABG)治疗经过并进行文献复习,探讨桡动脉桥在儿童CABG中应用的优点。方法患儿,男,13岁,因川崎病导致巨大冠状动脉瘤形成。实施CABG手术,术中使用双侧桡动脉作为桥血管。结果术后恢复良好,桥血管通畅,心脏功能显著改善。结论川崎病引发的冠状动脉瘤是儿童获得性心脏病的主要原因,CABG在治疗巨大冠状动脉瘤中具有重要作用,动脉桥血管的选择对生存至关重要。

关键词: 川崎病, 冠状动脉瘤, 冠状动脉旁路移植术, 桡动脉

Abstract: Objective To investigate the advantages of using the radial artery as a conduit in adolescent CABG by reporting the treatment of a child with a giant coronary artery aneurysm complicating Kawasaki disease who underwent total arterial coronary artery bypass grafting(CABG)and to review relevant literature. Methods A case of a 13-year-old male with a coronary artery aneurysm secondary to Kawasaki disease was reviewed. The child developed a large coronary artery aneurysm as a complication of Kawasaki disease. CABG was performed using bilateral radial arteries as grafts. Results Postoperative recovery was uneventful, with patency of the grafts and significant improvement in cardiac function. Conclusion Coronary artery aneurysms caused by Kawasaki disease are a leading cause of acquired heart disease in children. CABG plays a critical role in treating giant coronary aneurysms. The selection of arterial grafts is crucial for ensuring survival and optimal outcomes.

Key words: Kawasaki disease, Coronary artery aneurysm, Coronary artery bypass grafting, Radial artery

中图分类号:

R654

王智琪,戚继荣,扈元利,陈绪军,王庆峰,莫绪明. 全动脉冠状动脉旁路移植术治疗儿童川崎病后冠状动脉瘤1例并文献复习[J]. 山东大学学报 (医学版), 2025, 63(5): 47-53.

WANG Zhiqi, QI Jirong, HU Yuanli, CHEN Xujun, WANG Qingfeng, MO Xuming. Total arterial coronary artery bypass grafting for treatment of coronary artery aneurysm after Kawasaki disease in a child: case report and literature review[J]. Journal of Shandong University (Health Sciences), 2025, 63(5): 47-53.

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