Anaesthesia with profound hypothermia in a case of transposition of the great vessels with renal failure

Abstract

Any low perfusion state may precipitate renal failure. The response of this infant to surgical improvement of cardiac performance and the resultant improved tissue perfusion suggest pre-existing renal failure is not a contra-indication to hypothermia when hypoperfusion is present. Further research and clinical experience should help to clarify the significance of preoperative renal failure in candidates for profound hypothermia. It is hoped that the success of this case will encourage others to use similar techniques to save infants with congenital heart defects in the presence of renal failure. © 1974 Canadian Anesthesiologists.