Magnetic Resonance Imaging of Bland-White-Garland Syndrome A Case of Anomalous Origin of the Left Coronary Artery From the Pulmonary Trunk in a 22-Year-Old Woman

• Published in: JAPANESE CIRCULATION JOURNAL Vol. 62; no. 3; pp. 219 - 221
• Main Authors: Takenaga, Makoto, Matsuda, Junko, Miyamoto, Nobuhide, Ikushima, Ippei, Koiwaya, Yasushi
• Format: Journal Article
• Language: English
• Published: Kyoto The Japanese Circulation Society 01.03.1998; Japanese Circulation Society
• Subjects: Biological and medical sciences; Bland-White-Garland syndrome; Cardiology. Vascular system; Congenital heart disease; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava; Coronary Vessel Anomalies - diagnostic imaging; Coronary Vessel Anomalies - physiopathology; Female; Heart; Humans; Magnetic Resonance Imaging; Medical sciences; Middle Aged; Pulmonary Artery - abnormalities; Pulmonary Artery - diagnostic imaging; Pulmonary Artery - physiopathology; Radiography; Syndrome; Anomalous origin of the left coronary artery; Human; Radiodiagnosis; Angiography; Clinical form; Cardiovascular disease; Coronary heart disease; Congenital disease; Nuclear magnetic resonance imaging; Pulmonary artery; Arterial disease; Vascular disease; Case study; Malformation; Medical imagery
• ISSN: 0047-1828; 1347-4839
• DOI: 10.1253/jcj.62.219

Selective right coronary angiography in a 22-year-old woman demonstrated an enormous right coronary artery, with the contrast medium opacifying to the left coronary artery through a well-developed collateral circulation and draining into the pulmonary artery. The diagnosis of anomalous origin of the left coronary artery from the pulmonary trunk [also known as Bland-White-Garland (BWG) syndrome] was thus established. Magnetic resonance imaging (MRI) showed a dilated right coronary artery arising from the aorta, the left coronary artery from the pulmonary trunk but not from the aorta, and well-developed channels in the interventricular septum. MRI could be a useful tool for diagnosing anomalous origin of the left coronary artery from the pulmonary trunk. (Jpn Circ J 1998; 62: 219 - 221)