Korean Circ J.  1993 Jun;23(3):468-473. 10.4070/kcj.1993.23.3.468.

A case of anomalous left coronary artery from pulmonary artery (Bland-White-garland sysndrome)

Abstract

An anomalous left coronary artery from the pulmonary artery(Bland-White-Garland syndrome) is a rare congenital malformation and sometimes fatal. It is caused by an abberant endothelial budding from or an anomalous division of the truncus arteriosus. Echocardiography (transthoracic and transesophageal) and angiographical imaging are essential for the diagnosis of this anomaly. Corrective Surgery is recommended due to its fatal natural course. A case was diagnosed in a 45-year-old man who presented with intermittent palpitation. This patient was successfully treated with closure of anomalous left coronary artery orifice combined with right saphenous vein graft anastomosis.

Keyword

Bland-White-Garland syndrome; Anomalous left coronary artery

MeSH Terms

Bland White Garland Syndrome
Coronary Vessels*
Diagnosis
Echocardiography
Humans
Middle Aged
Pulmonary Artery*
Saphenous Vein
Transplants
Truncus Arteriosus

Cited by  1 articles

Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Initially Visualized by Echocardiography and Multidetector Computed Tomography Coronary Angiography
Byung-Ho Kim, Yon Woong Park, Seung-Pyo Hong, Ja-Yung Son, Young-Soo Lee, Jin-Bae Lee, Jae-Kean Ryu, Ji-Yong Choi, Kee-Sik Kim, Sung-Guk Chang
J Cardiovasc Ultrasound. 2012;20(4):197-200.    doi: 10.4250/jcu.2012.20.4.197.

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