Intra-postoperative ECMO support with an adjustable atrial communication can facilitate successful recovery of severe left ventricular dysfunction in infants undergoing surgical repair for ALCAPA.
We describe a successful case of surgical treatment for anomalous left coronary artery from the pulmonary artery (ALCAPA) syndrome with severe left ventricular dysfunction. Because of the severe left ventricular dysfunction, we planned to use an extracorporeal membrane oxygenation for heart support until a satisfactory recovery had been established. The left ventricular function significantly recovered in a few days, and the patient could be discharged without any complications.
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Fujii et al. (2007) studied this question.
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