SIMULTANEOUS SURGICAL TREATMENT OF TETRALOGY OF FALLOT AND CORONARY ARTERY ANEURYSM DUE TO MUCOCUTANEOUS LYMPH NODE SYNDROME IN A-4-YEAR-OLD CHILD
The simultaneous correction of tetralogy of Fallot and an aneurysm of the coronary artery due to mucocutaneous lymph node syndrome (MCLS) in a 4-year-old boy was successfully performed. Of the four aneurysms found on the coronary angiogram at the age of six months, the smaller three regressed sponta...
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Veröffentlicht in: | JAPANESE CIRCULATION JOURNAL 1979/09/20, Vol.43(8), pp.749-756 |
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creator | KONISHI, YUTAKA TATSUTA, NORIKAZU MIKI, SHIGEHITO MATSUDA, MITSUHIKO ISHIHARA, HIROSHI TANIGUCHI, TEIICHI HIKASA, YORINORI HAYASHIDERA, TADASHI NISHIOKA, KENYA UEDA, TADASHI |
description | The simultaneous correction of tetralogy of Fallot and an aneurysm of the coronary artery due to mucocutaneous lymph node syndrome (MCLS) in a 4-year-old boy was successfully performed. Of the four aneurysms found on the coronary angiogram at the age of six months, the smaller three regressed spontaneously leaving slight dilatation and thickening of the arterial wall during the 4-year follow-up period. However, the largest one in the right coronary artery, which remained almost the same size, showed marked stagnation of blood in the aneurysm with the possibility of thrombosis and resultant myocardial infarction. At operation, there was a large aneurysm in the right coronary artery, 9 mm in width and 18 mm in length. The wall of the aneurysm was very thick and tightly adherent to the myocardium. The aneurysm as resected and an aorto-coronary bypass graft was fashioned from a saphenous vein taken from the patient's mother, since an autogenous vein was not available. A ventricular septal defect was closed and pulmonary stenosis was relieved without any difficulty. Postoperative cardiac catheterization and coronary angiography four weeks after the operation revealed satisfactory correction of the tetralogy of Fallot and a patent aorto-coronary vein graft. Several problems regarding surgical treatment of coronary artery aneurysm due to MCSL are discussed. |
doi_str_mv | 10.1253/jcj.43.749 |
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Of the four aneurysms found on the coronary angiogram at the age of six months, the smaller three regressed spontaneously leaving slight dilatation and thickening of the arterial wall during the 4-year follow-up period. However, the largest one in the right coronary artery, which remained almost the same size, showed marked stagnation of blood in the aneurysm with the possibility of thrombosis and resultant myocardial infarction. At operation, there was a large aneurysm in the right coronary artery, 9 mm in width and 18 mm in length. The wall of the aneurysm was very thick and tightly adherent to the myocardium. The aneurysm as resected and an aorto-coronary bypass graft was fashioned from a saphenous vein taken from the patient's mother, since an autogenous vein was not available. A ventricular septal defect was closed and pulmonary stenosis was relieved without any difficulty. Postoperative cardiac catheterization and coronary angiography four weeks after the operation revealed satisfactory correction of the tetralogy of Fallot and a patent aorto-coronary vein graft. Several problems regarding surgical treatment of coronary artery aneurysm due to MCSL are discussed.</description><identifier>ISSN: 0047-1828</identifier><identifier>EISSN: 1347-4839</identifier><identifier>DOI: 10.1253/jcj.43.749</identifier><identifier>PMID: 315479</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Adult ; Angiography ; Aorto-coronary bypass grafting ; Cardiac Catheterization ; Child, Preschool ; Coronary artery aneurysm ; Coronary Artery Bypass ; Coronary Vessels - surgery ; Female ; Heart Aneurysm - diagnostic imaging ; Heart Aneurysm - etiology ; Heart Aneurysm - surgery ; Humans ; Lymphatic Diseases - complications ; Male ; Mucocutaneous lymph node syndrome ; Mucocutaneous Lymph Node Syndrome - complications ; Saphenous Vein ; Tetralogy of fallot ; Tetralogy of Fallot - complications ; Tetralogy of Fallot - surgery ; Transplantation, Homologous</subject><ispartof>JAPANESE CIRCULATION JOURNAL, 1979/09/20, Vol.43(8), pp.749-756</ispartof><rights>Japanese Circulation Society</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-e09e5e51e76a2189aa05696bfa0333aaa23f1c9c04eb44b6c7d3065dcf260fae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/315479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KONISHI, YUTAKA</creatorcontrib><creatorcontrib>TATSUTA, NORIKAZU</creatorcontrib><creatorcontrib>MIKI, SHIGEHITO</creatorcontrib><creatorcontrib>MATSUDA, MITSUHIKO</creatorcontrib><creatorcontrib>ISHIHARA, HIROSHI</creatorcontrib><creatorcontrib>TANIGUCHI, TEIICHI</creatorcontrib><creatorcontrib>HIKASA, YORINORI</creatorcontrib><creatorcontrib>HAYASHIDERA, TADASHI</creatorcontrib><creatorcontrib>NISHIOKA, KENYA</creatorcontrib><creatorcontrib>UEDA, TADASHI</creatorcontrib><title>SIMULTANEOUS SURGICAL TREATMENT OF TETRALOGY OF FALLOT AND CORONARY ARTERY ANEURYSM DUE TO MUCOCUTANEOUS LYMPH NODE SYNDROME IN A-4-YEAR-OLD CHILD</title><title>JAPANESE CIRCULATION JOURNAL</title><addtitle>JAPANESE CIRCULATION JOURNAL</addtitle><description>The simultaneous correction of tetralogy of Fallot and an aneurysm of the coronary artery due to mucocutaneous lymph node syndrome (MCLS) in a 4-year-old boy was successfully performed. Of the four aneurysms found on the coronary angiogram at the age of six months, the smaller three regressed spontaneously leaving slight dilatation and thickening of the arterial wall during the 4-year follow-up period. However, the largest one in the right coronary artery, which remained almost the same size, showed marked stagnation of blood in the aneurysm with the possibility of thrombosis and resultant myocardial infarction. At operation, there was a large aneurysm in the right coronary artery, 9 mm in width and 18 mm in length. The wall of the aneurysm was very thick and tightly adherent to the myocardium. The aneurysm as resected and an aorto-coronary bypass graft was fashioned from a saphenous vein taken from the patient's mother, since an autogenous vein was not available. A ventricular septal defect was closed and pulmonary stenosis was relieved without any difficulty. Postoperative cardiac catheterization and coronary angiography four weeks after the operation revealed satisfactory correction of the tetralogy of Fallot and a patent aorto-coronary vein graft. Several problems regarding surgical treatment of coronary artery aneurysm due to MCSL are discussed.</description><subject>Adult</subject><subject>Angiography</subject><subject>Aorto-coronary bypass grafting</subject><subject>Cardiac Catheterization</subject><subject>Child, Preschool</subject><subject>Coronary artery aneurysm</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Vessels - surgery</subject><subject>Female</subject><subject>Heart Aneurysm - diagnostic imaging</subject><subject>Heart Aneurysm - etiology</subject><subject>Heart Aneurysm - surgery</subject><subject>Humans</subject><subject>Lymphatic Diseases - complications</subject><subject>Male</subject><subject>Mucocutaneous lymph node syndrome</subject><subject>Mucocutaneous Lymph Node Syndrome - complications</subject><subject>Saphenous Vein</subject><subject>Tetralogy of fallot</subject><subject>Tetralogy of Fallot - complications</subject><subject>Tetralogy of Fallot - surgery</subject><subject>Transplantation, Homologous</subject><issn>0047-1828</issn><issn>1347-4839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEuP0zAUhS3EqwxsWLPwigVSih07Dy-txJ1WSmLkOIusLNd1oFE7nUnaBX-DX0yiDMPmPnTO_XR1APiM0RqHEfneu35NyTqh7BVYYUKTgKaEvQYrhKYZp2H6HnwYxx6hMKFR9A68JTiiCVuBP_WubArNKyGbGtaNut9lvIBaCa5LUWkoN1ALrXgh79t52fCikBryKoeZVLLiqoVcaTG3SjSqrUuYNwJqCcsmk1nzj1205Y8trGQuYN1WuZKlgLsK8oAGreAqkMVE3O6K_CN409nT6D899zvQbITOtsH0wvxc4KIwuQYeMR_5CPsktiFOmbUoilm87ywihFhrQ9Jhxxyifk_pPnbJgaA4OrgujFFnPbkDXxfu43B5uvnxas7H0fnTyT74y200CU0opQhPxm-L0Q2XcRx8Zx6H49kOvw1GZs7fTPkbSqYLNpm_PFNv-7M_vFiXwCdZLHI_Xu1P_yLb4Xp0J2_ccXA9ZjGaeelSJux__ZcdjH8gfwFn8Y4c</recordid><startdate>19790101</startdate><enddate>19790101</enddate><creator>KONISHI, YUTAKA</creator><creator>TATSUTA, NORIKAZU</creator><creator>MIKI, SHIGEHITO</creator><creator>MATSUDA, MITSUHIKO</creator><creator>ISHIHARA, HIROSHI</creator><creator>TANIGUCHI, TEIICHI</creator><creator>HIKASA, YORINORI</creator><creator>HAYASHIDERA, TADASHI</creator><creator>NISHIOKA, KENYA</creator><creator>UEDA, TADASHI</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19790101</creationdate><title>SIMULTANEOUS SURGICAL TREATMENT OF TETRALOGY OF FALLOT AND CORONARY ARTERY ANEURYSM DUE TO MUCOCUTANEOUS LYMPH NODE SYNDROME IN A-4-YEAR-OLD CHILD</title><author>KONISHI, YUTAKA ; TATSUTA, NORIKAZU ; MIKI, SHIGEHITO ; MATSUDA, MITSUHIKO ; ISHIHARA, HIROSHI ; TANIGUCHI, TEIICHI ; HIKASA, YORINORI ; HAYASHIDERA, TADASHI ; NISHIOKA, KENYA ; UEDA, TADASHI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-e09e5e51e76a2189aa05696bfa0333aaa23f1c9c04eb44b6c7d3065dcf260fae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Adult</topic><topic>Angiography</topic><topic>Aorto-coronary bypass grafting</topic><topic>Cardiac Catheterization</topic><topic>Child, Preschool</topic><topic>Coronary artery aneurysm</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Vessels - surgery</topic><topic>Female</topic><topic>Heart Aneurysm - diagnostic imaging</topic><topic>Heart Aneurysm - etiology</topic><topic>Heart Aneurysm - surgery</topic><topic>Humans</topic><topic>Lymphatic Diseases - complications</topic><topic>Male</topic><topic>Mucocutaneous lymph node syndrome</topic><topic>Mucocutaneous Lymph Node Syndrome - complications</topic><topic>Saphenous Vein</topic><topic>Tetralogy of fallot</topic><topic>Tetralogy of Fallot - complications</topic><topic>Tetralogy of Fallot - surgery</topic><topic>Transplantation, Homologous</topic><toplevel>online_resources</toplevel><creatorcontrib>KONISHI, YUTAKA</creatorcontrib><creatorcontrib>TATSUTA, NORIKAZU</creatorcontrib><creatorcontrib>MIKI, SHIGEHITO</creatorcontrib><creatorcontrib>MATSUDA, MITSUHIKO</creatorcontrib><creatorcontrib>ISHIHARA, HIROSHI</creatorcontrib><creatorcontrib>TANIGUCHI, TEIICHI</creatorcontrib><creatorcontrib>HIKASA, YORINORI</creatorcontrib><creatorcontrib>HAYASHIDERA, TADASHI</creatorcontrib><creatorcontrib>NISHIOKA, KENYA</creatorcontrib><creatorcontrib>UEDA, TADASHI</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>JAPANESE CIRCULATION JOURNAL</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KONISHI, YUTAKA</au><au>TATSUTA, NORIKAZU</au><au>MIKI, SHIGEHITO</au><au>MATSUDA, MITSUHIKO</au><au>ISHIHARA, HIROSHI</au><au>TANIGUCHI, TEIICHI</au><au>HIKASA, YORINORI</au><au>HAYASHIDERA, TADASHI</au><au>NISHIOKA, KENYA</au><au>UEDA, TADASHI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SIMULTANEOUS SURGICAL TREATMENT OF TETRALOGY OF FALLOT AND CORONARY ARTERY ANEURYSM DUE TO MUCOCUTANEOUS LYMPH NODE SYNDROME IN A-4-YEAR-OLD CHILD</atitle><jtitle>JAPANESE CIRCULATION JOURNAL</jtitle><addtitle>JAPANESE CIRCULATION JOURNAL</addtitle><date>1979-01-01</date><risdate>1979</risdate><volume>43</volume><issue>8</issue><spage>749</spage><epage>756</epage><pages>749-756</pages><issn>0047-1828</issn><eissn>1347-4839</eissn><abstract>The simultaneous correction of tetralogy of Fallot and an aneurysm of the coronary artery due to mucocutaneous lymph node syndrome (MCLS) in a 4-year-old boy was successfully performed. Of the four aneurysms found on the coronary angiogram at the age of six months, the smaller three regressed spontaneously leaving slight dilatation and thickening of the arterial wall during the 4-year follow-up period. However, the largest one in the right coronary artery, which remained almost the same size, showed marked stagnation of blood in the aneurysm with the possibility of thrombosis and resultant myocardial infarction. At operation, there was a large aneurysm in the right coronary artery, 9 mm in width and 18 mm in length. The wall of the aneurysm was very thick and tightly adherent to the myocardium. The aneurysm as resected and an aorto-coronary bypass graft was fashioned from a saphenous vein taken from the patient's mother, since an autogenous vein was not available. A ventricular septal defect was closed and pulmonary stenosis was relieved without any difficulty. Postoperative cardiac catheterization and coronary angiography four weeks after the operation revealed satisfactory correction of the tetralogy of Fallot and a patent aorto-coronary vein graft. Several problems regarding surgical treatment of coronary artery aneurysm due to MCSL are discussed.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>315479</pmid><doi>10.1253/jcj.43.749</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; J-STAGE日本語サイト (Free Access) |
subjects | Adult Angiography Aorto-coronary bypass grafting Cardiac Catheterization Child, Preschool Coronary artery aneurysm Coronary Artery Bypass Coronary Vessels - surgery Female Heart Aneurysm - diagnostic imaging Heart Aneurysm - etiology Heart Aneurysm - surgery Humans Lymphatic Diseases - complications Male Mucocutaneous lymph node syndrome Mucocutaneous Lymph Node Syndrome - complications Saphenous Vein Tetralogy of fallot Tetralogy of Fallot - complications Tetralogy of Fallot - surgery Transplantation, Homologous |
title | SIMULTANEOUS SURGICAL TREATMENT OF TETRALOGY OF FALLOT AND CORONARY ARTERY ANEURYSM DUE TO MUCOCUTANEOUS LYMPH NODE SYNDROME IN A-4-YEAR-OLD CHILD |
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