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Journal of Diagnostic Medical Sonography
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Anomalous Left Coronary Artery from the Pulmonary Artery

Anita Sextro, RDCS, RCS

Echocardiography Laboratory, Miami Valley Cardiologists, Dayton, Ohio; Miami Valley Cardiologists, 122 Wyoming Street, Dayton, OH 45409

Rcut Debbie Glass, RN, BSN

Echocardiography Laboratory, Miami Valley Cardiologists, Dayton, Ohio

Anomalous origin of the left coronary artery from the pulmonary trunk (Bland-Garland-White syndrome) is an important congenital malformation of the coronary circulation.The anomaly occurs in ap proximately 1 in 300,000 live births.Only 10% to 15% of affected infants will reach adulthood.The usual clinical presentation is that of the infant who sustains a myocardial infarction and develops congestive heart failure.Older children or adults can present with a continuous murmur and/or mitral regurgitation resulting from dysfunction of the ischemic papillary muscle.In some cases, the coronary anomaly is unsuspected until a previously well adolescent or adult experiences chest pain, heart failure, or sudden death.

Key Words: anomalous • congenital malformation • myocardial infarctio

Journal of Diagnostic Medical Sonography, Vol. 18, No. 5, 335-338 (2002)
DOI: 10.1177/875647902236847
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