Bland-White-Garland Syndrome

ABCIC

Case Report

ALCAPA Syndrome in a Young Woman

Diana de Campos et al. Luis Puga Joana Guardado Carolina Saleiro … João Lopes Rogério Teixeira Lino Gonçalves

Abstract

An 18-year-old woman presented with a one-year history of syncope, angina, and palpitations. The critical clue was a dilated right coronary artery on transthoracic echocardiography. Computed tomography findings resulted in the diagnosis of anomalous origin of the left coronary artery from the pulmonary artery syndrome.

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Late Diagnosis of Anomalous Left Coronary Artery from Pulmonary Artery in Oligosymptomatic Women

Carolina de Souza Galvão et al. Sterffeson Lamare Lucena de Abreu Magda Luciene de Sousa Carvalho José Eduardo da Cruz Sales Ana Bárbara Silva dos Santos Leite

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Clinicoradiological Correlation

Case 2/2020 – Anomalous Origin of the Left Coronary Artery from the Pulmonary Trunk, Under Natural Evolution in a 75-Year-old Asymptomatic Woman

Edmar Atik et al. Oliver Kligerman Luiz Kajita

Clinical data

Patient evolves without symptoms in her daily routine as a domestic worker. She denies any symptoms of palpitations, precordial pain or fatigue. When she was aged 62, a cardiac catheterization revealed the diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA, or Bland-White-Garland syndrome), after an altered routine exercise stress test. Since then, the patient reports her well-being, although she is aware of the existence of this anomaly. She is being treated with rosuvastatin, levothyroxine and vitamin D.

Physical examination: good overall status, eupneic, acyanotic, normal pulses in the four limbs. Weight: 49.8 Kg, Height: 143 cm, BP:120 x 80 mmHg, HR: 74 bpm.

[…]

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Original Article

Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment

Fernando Amaral et al. Julene S. Carvalho João A. Granzotti Elliot A. Shinebourne

OBJECTIVE: To report the authors’ experience with the anomalous origin of the left coronary artery (AOLCA) from the pulmonary trunk, emphasizing preoperative data, surgical aspects and midterm results of the follow-up. METHODS: Retrospective analysis of 11 patients operated upon at the Royal Brompton Hospital from October, 84 to April, 97. RESULTS: Nine infants had heart failure (HF) and two other children presented with dyspnea and chest pain. All had ECG changes. The echocardiogram identified the anomalous origin of the coronary artery in 7 (64%) patients and hemodynamic studies were performed in 7 patients. All infants were operated upon between the 2nd and 10th month of life. Six patients were treated with aortic reimplantation of the left coronary artery, whereas five were operated upon according to the Takeuchi technique. All patients are alive, with clear improvement of the ECG changes and ventricular function, as evaluated by echocardiography. Two patients operated upon according to the Takeuchi technique required additional surgery due to severe supravalvular pulmonary stenosis. CONCLUSION: AOLCA is a rare disease. Most patients show early signs of severe HF associated with ECG findings. Surgical therapy must be instituted early in the disease, preferentially through aortic implantation of the anomalous coronary artery, with a high possibility of success. Shortly after surgery, clinical and ECG improvement, as well as normalization of left ventricular function, should be expected.

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ALCAPA Syndrome in a Young Woman

Abstract

Late Diagnosis of Anomalous Left Coronary Artery from Pulmonary Artery in Oligosymptomatic Women

Case 2/2020 – Anomalous Origin of the Left Coronary Artery from the Pulmonary Trunk, Under Natural Evolution in a 75-Year-old Asymptomatic Woman

Clinical data

Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment

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Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)