actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problems10.12737/article_59f035f96160f5.10738166actabiomedica-385Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEОперация маммарокоронарного шунтирования передней межжелудочковой артерии на «работающем сердце» у ребёнка 5,5 месяцев с болезнью Кавасаки, осложнённой острым инфарктом миокардаOff-pump mammary-coronary bypass of anterior interventricular artery in 5.5-month infant with Kawasaki disease complicated with acute myocardial infarctionПодкаменныйВ. А.PodkamennyiV. A.pvdm@inbox.ruМедведевВ. Н.MedvedevV. N.medvedev-big@yandex.ruБрегельЛ. В.BregelL. V.loudmilabregel@yandex.ruСубботинВ. М.SubbotinV. M.saturday2@yandex.ruИркутская государственная медицинская академия последипломный образования - филиал ФГБОУ «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education; Irkutsk Regional Clinical HospitalГБУЗ «Иркутская ордена «Знакпочёта» областная клиническая больница»Irkutsk Regional Clinical HospitalИркутская государственная медицинская академия последипломного образования - филиал ФГБОУ «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииIrkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education201728052017232731Copyright © Подкаменный В.А., Медведев В.Н., Брегель Л.В., Субботин В.М., 20172017Подкаменный В.А., Медведев В.Н., Брегель Л.В., Субботин В.М.Podkamennyi V.A., Medvedev V.N., Bregel L.V., Subbotin V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/385

Болезнь Кавасаки (БК) - редкое заболевание. Опубликованы единичные наблюдения маммарокоронарного шунтирования передней межжелудочковой артерии (МКШ ПМЖА) у детей, перенесших БК, начиная с двухлетнего возраста. В РФ не описаны наблюдения хирургического лечения БК. В данном сообщении представлено наблюдение успешной операции МКШ ПМЖА на «работающем сердце» у ребенка с БК в возрасте 5,5 месяцев. Сроки выполнения операции составили менее одного месяца от начала заболевания. Через 8 лет после операции ребенок развивается согласно возрасту.

Kawasaki disease (KD) is a rare disease and its etiology is unknown. The majority of patients with KD are children under the age of 5. The injury of the coronary arteries (CA) in the acute period of the KD is accompanied by the formation of giant aneurysms of the proximal coronary arteries. In 16 % of patients, the course of KD may be complicated by acute myocardial infarction (AMI). Mortality with the first AMI is 22 %, with a repeated one - 66 %, and with the third - 87 %. The average period between the debuting of KD and the operation is 8 years. There is no data about the operation in the early stages of KD and with AMI. There are very few observations of successful operations of the left anterior descending artery (LAD) with using of to left anterior descending (LIMA), in children with KD since the age of two were published. This report presents the clinical case of the successful off-pump coronary artery bypass of LAD with using LIMA in an infant aged 5.5 months with KD. The operation was performed in a less than 1 month from the onset of the disease and 12 days by the AMI. After 7.5 months after the operation, the restoration of blood flow in the LAD and the termination of competitive blood flow through the graft are noted. In 8 years after the operation, the child develops according to age.

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The authors declare that there are no conflicts of interest present.