Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (5): 40-46.doi: 10.6040/j.issn.1671-7554.0.2024.0769

• Special Topic on Application of Arterial Grafts in Coronary Artery Bypass Grafting • Previous Articles    

Application of coronary artery bypass grafting in pediatric cardiovascular disease

MO Xuming, WANG Qingfeng   

  1. Department of Cardiothoracic Surgery, Childrens Hospital of Nanjing Medical University, Nanjing 210019, Jiangsu, China
  • Published:2025-05-07

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Abstract: Before the 1970s, coronary artery bypass surgery for children was rarely performed due to the lack of convincing surgical indications. The development of coronary artery bypass surgery for children has become inevitable due to the emergence of coronary artery sequelae caused by Kawasaki disease and the emergence of new procedures such as aortic valve replacement surgery and congenital coronary artery malformation repair, which lead to the occurrence of coronary artery complications. Due to the rapid growth of children, their long life expectancy, and their increasing demand for athletic ability, the strategy for coronary artery bypass surgery in children should be different from that in adults. Because the internal thoracic artery can grow according to the physical growth of children and has a high long-term patency rate, coronary artery bypass surgery using unilateral and bilateral internal thoracic arteries in children has become the most reliable surgical method. It is worth noting that venous grafts should be avoided in children. At pre-sent, coronary artery bypass surgery for children has become a new field of cardiac surgery.

Key words: Coronary artery bypass grafting, Congenital heart disease, Kawasaki disease, Cardiovascular disease, Children

CLC Number: 

  • R654
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