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; A. Welz; R. Brangenberg; R. Kozlik-Feldmann; H. Netz; B. Reichart

doi:10.1055/s-2007-1013758

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Thorac Cardiovasc Surg 1997; 45(6): 315-317
DOI: 10.1055/s-2007-1013758

Case Report

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, A. Welz, R. Brangenberg¹ , R. Kozlik-Feldmann¹ , H. Netz¹ , B. Reichart

¹Departments of Cardiac Surgery and Pediatric Cardiology, Grosshadern Medical Center, University of Munich, Munich, Germany

Further Information

Publication History

1997

Publication Date:
19 March 2008 (online)

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Abstract

The case of a 6-week-old girl with left coronary artery originating from the pulmonary artery (Bland-White-Garland Syndrome) is reported. Therapy consisted of a subclavian - coronary artery anastomosis via left anterolateral thoracotomy extended by transverse sternotomy. This approach allowed both the easy dissection of the left subclavian artery and 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 leftventricularfunction.

Key words

Bland-White-Garland syndrome - Subclavian to coronary artery anastomosis - Modified clamshell incision