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Ann Thorac Surg 1998;65:555
© 1998 The Society of Thoracic Surgeons


Case Reports

Intraaortic Balloon Pump After Treatment of Anomalous Origin of Left Coronary Artery

Marco Pozzi, MD, Gaetano Santoro, MD, Seshadri Makundan, MS

Department of Cardiac Surgery, Royal Liverpool Children’s Hospital-Alder Hey, Liverpool, England, United Kingdom

Accepted for publication September 25, 1997.

Dr Pozzi, Department of Cardiac Surgery, Royal Liverpool Children’s Hospital-Alder Hey, Eaton Rd, Liverpool L12 2 AP, England (e-mail: mpozzi@liverpedcard.u-net.com).

The same system of intraaortic balloon pumping has been used in 2 infants after surgical repair of anomalous origin of the left coronary artery from the main pulmonary artery. Intraaortic balloon pumping was started in the first patient on the second postoperative day, whereas in the second patient it was started before the patient was weaned from cardiopulmonary bypass. Both patients survived. In the first patient intraaortic balloon pumping improved the low cardiac output, which had failed to respond to maximal inotropic support, whereas in the second it maintained hemodynamic stability.




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