01 January 2001
Anomalous origin of the left coronary artery (LCA) from pulmonary trunk (Bland-White-Garlandsyndrome) with systemic collateral supply to LCA.
Maciej A Karolczak, Jacek Wieteska, Leszek Bęc, Wojciech MądryMed Sci Monit 2001; 7(4): CS755-758 :: ID: 421073
Abstract
We present the case of 15-year-old asymptomatic girl referred to our institutionwith the diagnosis of mitral valve prolapse and a suspicion of coronary artery fistula. Detailed diagnosticsrevealed Bland-White-Garland syndrome (B-W-G) with tortuous aneurysmatic right coronary artery (9 mmin diameter). In addition, on surgery, multiple collateral vessels between the right and left coronaryarteries were found crossing over the pulmonary trunk and right ventricle. Because of fragile and calcifiedanterior walls of the main pulmonary artery we had to elect Hamilton rather than Takeuchi technique.The procedure was aggravated by continuous blood outflow from enlarged LCA ostium suggesting systemiccollateral supply. Weaning from cardiopulmonary bypass and postoperative period was uneventful. Thereare only two published reports on systemic collateral supply to LCA in patients with BWG.
Keywords: Cardiopulmonary Bypass, Coronary Artery Anomalies, collateral blood supply
Editorial
01 March 2024 : Editorial
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-ThalassemiaDOI: 10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
In Press
18 Mar 2024 : Clinical Research
Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative StudyMed Sci Monit In Press; DOI: 10.12659/MSM.944136
21 Feb 2024 : Clinical Research
Potential Value of HSP90α in Prognosis of Triple-Negative Breast CancerMed Sci Monit In Press; DOI: 10.12659/MSM.943049
22 Feb 2024 : Review article
Differentiation of Native Vertebral Osteomyelitis: A Comprehensive Review of Imaging Techniques and Future ...Med Sci Monit In Press; DOI: 10.12659/MSM.943168
23 Feb 2024 : Clinical Research
A Study of 60 Patients with Low Back Pain to Compare Outcomes Following Magnetotherapy, Ultrasound, Laser, ...Med Sci Monit In Press; DOI: 10.12659/MSM.943732
Most Viewed Current Articles
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952