Use of the Batista procedure to discontinue bypass following aortic reimplantation of an anomalous left coronary artery.
A four-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery developed severe left ventricular failure after aortic reimplantation, despite prolonged supportive cardiopulmonary bypass with high level inotropic support and several abortive attempts for discontinuation. The Batista procedure was performed and the patient was successfully weaned from bypass. Postoperative recovery was uneventful, and at one-year follow-up she remains asymptomatic.
Cardiovascular Surgery Department, Carlos Haya Regional Hospital, Málaga, Spain. draglezlopez@hotmail.com
M T
MT
González López
J M
JM
Gil Jaurena
R
R
Castillo Martín
J
J
Gutiérrez de Loma
D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000601:surgery*; D012092:Replantation; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000601:surgery*