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  • Title: Coronary artery bypass for Takayasu's arteritis involving the aortic root in a child.
    Author: Kowatari R, Minakawa M, Daitoku K, Suzuki Y, Fukuda I.
    Journal: J Card Surg; 2021 Jun; 36(6):2127-2129. PubMed ID: 33590549.
    Abstract:
    The patient was a 12-year-old female who presented with angina pectoris, aortic root dilatation, and aortic regurgitation (AR) caused by Takayasu's arteritis (TA). After the management of systemic inflammation, she underwent off-pump coronary artery bypass with the radial artery (RA), which extended from the left axillary artery to the left descending coronary artery, via left mini-thoracotomy. Postoperative angiography revealed the growth of the RA graft. The patient is well 4 years after surgery without progression of AR. Off-pump coronary artery bypass is a palliative therapy. Moreover, it could be a feasible option in a child with TA involving the aortic root.
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