Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome
We report a case of anomalous left coronary artery from the pulmonary artery (ALCAPA) or Bland-White-Garland syndrome, present the challenges of performing a differential diagnosis, and discuss the treatment of the syndrome. Although ALCAPA is a rare congenital heart disease, it is one of the most c...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/568014 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849308229504335872 |
|---|---|
| author | Nathalie Jeanne Magioli Bravo-Valenzuela Guilherme Ricardo Nunes Silva |
| author_facet | Nathalie Jeanne Magioli Bravo-Valenzuela Guilherme Ricardo Nunes Silva |
| author_sort | Nathalie Jeanne Magioli Bravo-Valenzuela |
| collection | DOAJ |
| description | We report a case of anomalous left coronary artery from the pulmonary artery (ALCAPA) or Bland-White-Garland syndrome, present the challenges of performing a differential diagnosis, and discuss the treatment of the syndrome. Although ALCAPA is a rare congenital heart disease, it is one of the most common causes of myocardial ischemia in childhood and presents a diagnostic challenge. A four-year-old girl was referred to a pediatric cardiologist for evaluation of mitral valve regurgitation murmur and heart failure. The transthoracic echocardiogram demonstrated the left coronary artery (LCA) not arising from the aorta, presence of coronary collateral circulation, and moderate mitral valve regurgitation. ALCAPA was confirmed using angiotomography. The LCA was surgically reimplanted into the aorta. After 3 years of postoperative follow-up, the patient developed an LCA aneurysm. Diagnosis of cardiac ischemia in childhood remains a challenge, and careful evaluation of coronary arteries on the echocardiogram is an important tool. In this report, we present a case of ALCAPA with an uncommon postoperative outcome. |
| format | Article |
| id | doaj-art-168aac8916f04a49930b3b8a5a06d033 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-168aac8916f04a49930b3b8a5a06d0332025-08-20T03:54:32ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/568014568014Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland SyndromeNathalie Jeanne Magioli Bravo-Valenzuela0Guilherme Ricardo Nunes Silva1Pediatrics Department, University of Taubaté, 12020-130 Taubaté, SP, BrazilUniversity of Taubaté, 12020-130 Taubaté, SP, BrazilWe report a case of anomalous left coronary artery from the pulmonary artery (ALCAPA) or Bland-White-Garland syndrome, present the challenges of performing a differential diagnosis, and discuss the treatment of the syndrome. Although ALCAPA is a rare congenital heart disease, it is one of the most common causes of myocardial ischemia in childhood and presents a diagnostic challenge. A four-year-old girl was referred to a pediatric cardiologist for evaluation of mitral valve regurgitation murmur and heart failure. The transthoracic echocardiogram demonstrated the left coronary artery (LCA) not arising from the aorta, presence of coronary collateral circulation, and moderate mitral valve regurgitation. ALCAPA was confirmed using angiotomography. The LCA was surgically reimplanted into the aorta. After 3 years of postoperative follow-up, the patient developed an LCA aneurysm. Diagnosis of cardiac ischemia in childhood remains a challenge, and careful evaluation of coronary arteries on the echocardiogram is an important tool. In this report, we present a case of ALCAPA with an uncommon postoperative outcome.http://dx.doi.org/10.1155/2015/568014 |
| spellingShingle | Nathalie Jeanne Magioli Bravo-Valenzuela Guilherme Ricardo Nunes Silva Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome Case Reports in Cardiology |
| title | Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome |
| title_full | Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome |
| title_fullStr | Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome |
| title_full_unstemmed | Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome |
| title_short | Aneurysm of the Left Coronary Artery in Postoperative Bland-White-Garland Syndrome |
| title_sort | aneurysm of the left coronary artery in postoperative bland white garland syndrome |
| url | http://dx.doi.org/10.1155/2015/568014 |
| work_keys_str_mv | AT nathaliejeannemagiolibravovalenzuela aneurysmoftheleftcoronaryarteryinpostoperativeblandwhitegarlandsyndrome AT guilhermericardonunessilva aneurysmoftheleftcoronaryarteryinpostoperativeblandwhitegarlandsyndrome |