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Anomalous Left Coronary Artery from the Pulmonary Artery

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

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


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Sextro, A. Articles by Glass, R. D. Search for Related Content Social Bookmarking                         What's this?