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The Bland‐White‐Garland syndrome. Clinical picture and anaesthesiological management
Author(s) -
KLEINSCHMIDT STEFAN,
GRUENESS VOLKHARD,
MOLTER GERD
Publication year - 1996
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1996.tb00358.x
Subject(s) - medicine , dobutamine , midazolam , fentanyl , anesthesia , ejection fraction , weaning , cardiopulmonary bypass , ventricular function , cardiology , heart failure , sedation , hemodynamics
Summary We report a five‐month‐old infant with an impaired left ventricular ejection fraction as a result of Bland‐White‐Garland‐syndrome (BWGS). Total intravenous anaesthesia with fentanyl and midazolam was used as the anaesthetic technique. After aortic reimplantation of the left coronary artery weaning from cardiopulmonary bypass (CPB) was prolonged and was only successfully managed with high dose noradrenaline, dopamine and dobutamine. Persistent myocardial dysfunction led to prolonged intensive care treatment. Seven months after surgery, left ventricular function and clinical condition have improved significantly.