Premium
Bland‐White‐Garland syndrome with aortic stenosis
Author(s) -
Abuharb Mahmoud Y. Ibrahim,
Bian Xiao Ming,
He Jian
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14235
Subject(s) - medicine , cardiology , presentation (obstetrics) , artery , autopsy , stenosis , incidence (geometry) , coronary arteries , left coronary artery , right coronary artery , acute coronary syndrome , pulmonary artery , radiology , coronary angiography , myocardial infarction , physics , optics
Background While anatomical variations in the cardiac circulation are quite commonly encountered, isolated congenital coronary artery anomalies are rare. These conditions are only reported in 1% of patients who underwent coronary angiogram and 0.3% of patients at autopsy. Case Presentation This is the case of a 65‐year‐old female who presented with a 20‐day history of postexertion chest tightness and shortness of breath. Coronary computed tomography exam revealed an anomalous left coronary artery from the pulmonary artery. With surgical intervention, the patient fully recovered. Conclusion Due to the low incidence of abnormal origin of coronary artery among adults, this condition is often misdiagnosed as coronary artery spasm, resulting in delayed management. Lack of timely surgical intervention may lead to a poor prognosis.