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Guillermo O. Kreutzer
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Ann Thorac Surg 2000;69:1591-1592
© 2000 The Society of Thoracic Surgeons

Case reports

Emergency ligation of anomalous left coronary artery arising from the pulmonary artery

Christian Kreutzer, MDa,b, Andres J. Schlichter, MDa,b, Maria Ines Roman, MDa,b, Guillermo O. Kreutzer, MDa,b

a Division of Cardiovascular Surgery, Ricardo Gutierrez Children’s Hospital, Buenos Aires, Argentina
b Ricardo Gutierrez Children’s Hospital, Buenos Aires, Argentina

Address reprint requests to Dr Christian Kreutzer, Ricardo Gutierrez Children’s Hospital, Gallo 1330 (1425) Buenos Aires, Argentina

We report two cases of successful emergency ligation of anomalous left coronary artery arising from the pulmonary artery (ALCAPA) in patients with previous cardiac arrest. Both patients had regained marginal cardiac output after cardiopulmonary resuscitation and had maximal doses of inotropic support. The ALCAPA ligation was then performed as a life-saving procedure in the absence of any kind of mechanical circulatory support.




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