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Martin Kostelka
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Ann Thorac Surg 2005;79:2151-2153
© 2005 The Society of Thoracic Surgeons

Case report

Beating Heart Off-Pump Myocardial Revascularization in an Infant

Thomas Walther, MD, PhDa,*, Ingo Dähnert, MDb, Herbert Kiefer, MDc, Volkmar Falk, MD, PhDa, Martin Kostelka, MD, PhDa, Friedrich W. Mohr, MD, PhDa

a Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Leipzig, Germany
b Klinik für Kinderkardiologie, Herzzentrum, Universität Leipzig, Leipzig, Germany
c Klinik für Anästhesie, Herzzentrum, Universität Leipzig, Leipzig, Germany

Accepted for publication December 2, 2003.

* Address reprint requests to Dr Walther, Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Strümpellstr 39, 04289 Leipzig, Germany (E-mail: walt{at}medizin.uni-leipzig.de).

A 6-week-old patient weighing 4 kg was admitted for surgical correction of anomalous left coronary artery from the pulmonary artery. Reimplantation of the coronary artery with cardiopulmonary bypass was impossible because the patient also had hereditary spherocytosis, which put him at risk for hemolytic anemia. Thus, closure of the left main stem and left internal mammary artery-left anterior descending coronary artery bypass grafting were performed successfully with the heart beating.






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