An adult case of Bland-White-Garland syndrome with collaterals from giant right coronary artery and bronchial artery
Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the sub...
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| Published in | Journal of cardiology cases Vol. 16; no. 2; pp. 41 - 43 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
Elsevier Ltd
01.08.2017
Japanese College of Cardiology |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1878-5409 1878-5409 |
| DOI | 10.1016/j.jccase.2017.04.006 |
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| Abstract | Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography.
<Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.> |
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| AbstractList | Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography.
<Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.> Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. < Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.> Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. <Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.>.Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. <Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.>. Abstract Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. < Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.> Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. < Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.>. |
| Author | Arashi, Hiroyuki Hagiwara, Nobuhisa Tobita, Takashige Fukushima, Kenji |
| AuthorAffiliation | a Department of Cardiology, Tokyo Women’s Medical University, Tokyo, Japan b Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women’s Medical University, Tokyo, Japan |
| AuthorAffiliation_xml | – name: b Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women’s Medical University, Tokyo, Japan – name: a Department of Cardiology, Tokyo Women’s Medical University, Tokyo, Japan |
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| Cites_doi | 10.1016/0002-8703(83)90207-7 10.1016/S0735-1097(97)00175-7 10.1136/hrt.2005.084194 10.1002/clc.20848 |
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| Copyright | 2017 Japanese College of Cardiology Japanese College of Cardiology 2017 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. 2017 Japanese College of Cardiology |
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| Keywords | Bland-White-Garland syndrome Multi-detector computed tomography Congenital heart disease Single photon emission computed tomography Fusion |
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| References | Yau, Singh, Halpern, Fischman (bib0010) 2011; 34 Moodie, Fyfe, Gill, Cook, Lytle, Taylor (bib0015) 1983; 106 Coche, Muller, Gerber (bib0020) 2006; 92 Schwartz, Jonas, Colan (bib0005) 1997; 30 Yau (10.1016/j.jccase.2017.04.006_bib0010) 2011; 34 Schwartz (10.1016/j.jccase.2017.04.006_bib0005) 1997; 30 Moodie (10.1016/j.jccase.2017.04.006_bib0015) 1983; 106 Coche (10.1016/j.jccase.2017.04.006_bib0020) 2006; 92 |
| References_xml | – volume: 106 start-page: 381 year: 1983 end-page: 388 ident: bib0015 article-title: Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: long-term follow-up after surgery publication-title: Am Heart J – volume: 30 start-page: 547 year: 1997 end-page: 553 ident: bib0005 article-title: Anomalous origin of left coronary artery from pulmonary artery: recovery of left ventricular function after dual coronary repair publication-title: J Am Coll Cardiol – volume: 34 start-page: 204 year: 2011 end-page: 210 ident: bib0010 article-title: Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman publication-title: Clin Cardiol – volume: 92 start-page: 1193 year: 2006 ident: bib0020 article-title: Anomalous origin of the left main coronary artery from the main pulmonary artery (ALCAPA) illustrated before and after surgical correction on ECG-gated 40-slice computed tomography publication-title: Heart – volume: 106 start-page: 381 year: 1983 ident: 10.1016/j.jccase.2017.04.006_bib0015 article-title: Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: long-term follow-up after surgery publication-title: Am Heart J doi: 10.1016/0002-8703(83)90207-7 – volume: 30 start-page: 547 year: 1997 ident: 10.1016/j.jccase.2017.04.006_bib0005 article-title: Anomalous origin of left coronary artery from pulmonary artery: recovery of left ventricular function after dual coronary repair publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(97)00175-7 – volume: 92 start-page: 1193 year: 2006 ident: 10.1016/j.jccase.2017.04.006_bib0020 article-title: Anomalous origin of the left main coronary artery from the main pulmonary artery (ALCAPA) illustrated before and after surgical correction on ECG-gated 40-slice computed tomography publication-title: Heart doi: 10.1136/hrt.2005.084194 – volume: 34 start-page: 204 year: 2011 ident: 10.1016/j.jccase.2017.04.006_bib0010 article-title: Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman publication-title: Clin Cardiol doi: 10.1002/clc.20848 |
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| SubjectTerms | Bland-White-Garland syndrome Cardiovascular Congenital heart disease Fusion Multi-detector computed tomography Single photon emission computed tomography |
| Title | An adult case of Bland-White-Garland syndrome with collaterals from giant right coronary artery and bronchial artery |
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