Infant partial left ventriculectomy for failure to wean from cardiopulmonary bypass.
Following aortic reimplantation of anomalous left coronary artery from the pulmonary artery in a 6-month-old infant, the heart failed to wean after prolonged supportive cardiopulmonary bypass and maximal inotropic support. We performed partial left ventriculectomy (Batista procedure) that halved left atrial pressure and enabled discontinuation of bypass. Postoperative recovery was then uneventful.
Westaby
S
S
Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, United Kingdom. swestaby@ahf.org.uk
Catarino
P A
PA
Katsumata
T
T
D002315:Cardiopulmonary Bypass; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D004719:Endomyocardial Fibrosis / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery*; D013536:Suture Techniques; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000601:surgery*