Abstract
A 4-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery developed a large left ventricular aneurysm with intractable myocardial decompensation. The aneurysm was excised and the anomalous coronary artery was ligated at its origin. High-flow cardiopulmonary bypass with moderate hypothermia (30° C.) was used during the operation. The child made an uneventful recovery and 8 months after the operation appears to be perfectly healthy. This method of treatment is applicable in those infants who have had a large infarction and a definite loss of ventricular muscle mass.
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