Journal of Diagnostic Medical Sonography

 

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Journal of Diagnostic Medical Sonography, Vol. 18, No. 5, 335-338 (2002)

Anomalous Left Coronary Artery From the Pulmonary Artery

Anita Sextro

Miami Valley Cardiologists

Debbie Glass

Miami Valley Cardiologists

Anomalous origin of the left coronary artery fromthe pulmonary trunk (Bland-Garland-White syndrome)is an important congenital malformation ofthe coronary circulation. The anomaly occurs in approximately1 in 300,000 live births. Only 10% to15% of affected infants will reach adulthood. Theusual clinical presentation is that of the infant whosustains a myocardial infarction and develops congestiveheart failure. Older children or adults canpresent with a continuous murmur and/or mitral regurgitationresulting from dysfunction of theischemic papillary muscle. In some cases, the coronaryanomaly is unsuspected until a previously welladolescent or adult experiences chest pain, heartfailure, or sudden death.

Key Words: anomalous • congenital malformation • myocardial infarction


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