SURGICAL-TREATMENT OF THE BLAND-WHITE-GARLAND SYNDROME IN EARLY INFANCY - SUBCLAVIAN TO CORONARY-ARTERY ANASTOMOSIS VIA LEFT ANTEROLATERAL THORACOTOMY EXTENDED BY A TRANSVERSE STERNOTOMY
C. Schmitz et al., SURGICAL-TREATMENT OF THE BLAND-WHITE-GARLAND SYNDROME IN EARLY INFANCY - SUBCLAVIAN TO CORONARY-ARTERY ANASTOMOSIS VIA LEFT ANTEROLATERAL THORACOTOMY EXTENDED BY A TRANSVERSE STERNOTOMY, The thoracic and cardiovascular surgeon, 45(6), 1997, pp. 315-317
The case of a 6-week-old girl with left coronary artery originating fr
om the pulmonary artery (Bland-White-Garland syndrome) is reported. Th
erapy consisted of a subclavian - coronary artery anastomosis via left
anterolateral thoracotomy extended by transverse sternotomy. This app
roach allowed both the easy dissection of the left subclavian artery a
nd the use of extracorporeal circulation while doing the anastomosis.
Operation and postoperative course were uneventful. Angiography after
one year revealed a patent anastomosis and a totally recovered left-ve
ntricular function.