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Levosimendan in a neonate with severe coarctation of aorta and low cardiac output syndrome


1 Department of Pediatric Cardiac Anesthesiology and Intensive Care, Necker-Sick Children Hospital, Paris, France; Department of Anesthesiology, University Hospital Centre, Lausanne, Switzerland
2 Department of Pediatric Cardiac Anesthesiology and Intensive Care, Necker-Sick Children Hospital, Paris, France
3 Department of Pediatric Cardiac Surgery, Necker-Sick Children Hospital, Paris, France; Department of Cardiovascular Surgery, University Hospital Centre, Lausanne, Switzerland

Correspondence Address:
Yann Olivier Boegli
Department of Paediatric Cardiac Anaesthesiology and Intensive Care, Necker - Sick Children Hospital, Paris, France and Department of Anaesthesiology, University Hospital Centre, Lausanne, Switzerland

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114254

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Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 212-214

 

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We report successful use of levosimendan after failed balloon angioplasty in a critically ill neonate with coarctation of aorta (CoA) and severe low cardiac output syndrome (LCOS). Treatment with levosimendan improved left heart function, and decreased lactate and brain natriuretic peptide levels. To our knowledge, this is the first report on the safe and successful use of levosimendan in the management of LCOS due to severe CoA in a neonate awaiting surgical repair.






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1 Department of Pediatric Cardiac Anesthesiology and Intensive Care, Necker-Sick Children Hospital, Paris, France; Department of Anesthesiology, University Hospital Centre, Lausanne, Switzerland
2 Department of Pediatric Cardiac Anesthesiology and Intensive Care, Necker-Sick Children Hospital, Paris, France
3 Department of Pediatric Cardiac Surgery, Necker-Sick Children Hospital, Paris, France; Department of Cardiovascular Surgery, University Hospital Centre, Lausanne, Switzerland

Correspondence Address:
Yann Olivier Boegli
Department of Paediatric Cardiac Anaesthesiology and Intensive Care, Necker - Sick Children Hospital, Paris, France and Department of Anaesthesiology, University Hospital Centre, Lausanne, Switzerland

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114254

Rights and Permissions

We report successful use of levosimendan after failed balloon angioplasty in a critically ill neonate with coarctation of aorta (CoA) and severe low cardiac output syndrome (LCOS). Treatment with levosimendan improved left heart function, and decreased lactate and brain natriuretic peptide levels. To our knowledge, this is the first report on the safe and successful use of levosimendan in the management of LCOS due to severe CoA in a neonate awaiting surgical repair.






[FULL TEXT] [PDF]*


        
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