[The Bland-White-Garland syndrome or an anomalous origin of the left coronary from the pulmonary artery. Apropos a case of a continuous murmur in an adult].

Síndrome de Bland-White-Garland ou origem anómala da coronária esquerda na artéria pulmonar. A propósito de um caso de sopro contínuo num adulto.

Publisher: Lisbon Country of Publication: Portugal NLM ID: 8710716 Publication Model: Print Cited Medium: Print ISSN: 0870-2551 (Print) Linking ISSN: 08702551 NLM ISO Abbreviation: Rev Port Cardiol Subsets: MEDLINE

Publication: 2011- : Lisbon : Elsevier
Original Publication: Lisboa : Sociedade Portuguesa De Cardiologia

Coronary Vessel Anomalies/*diagnosis ; Heart Murmurs/*diagnosis ; Pulmonary Artery/*abnormalities; Adult ; Coronary Angiography ; Coronary Vessel Anomalies/complications ; Coronary Vessel Anomalies/physiopathology ; Diagnosis, Differential ; Echocardiography ; Female ; Heart Murmurs/etiology ; Heart Murmurs/physiopathology ; Heart Ventricles/diagnostic imaging ; Hemodynamics ; Humans ; Pulmonary Artery/diagnostic imaging ; Syndrome

The authors report a case of anomalous origin of the left coronary artery from the trunk of pulmonary artery in an adult without significant symptoms, diagnosed by the presence of a continuous thoracic murmur. Because its low incidence and great mortality in the beginning of life, the appearance in the adult is extremely uncommon, especially without symptoms of cardiac failure, angina pectoris or myocardial infarction. In the present case, the patient was asymptomatic and was submitted to various echocardiograms before the diagnosis was suspected and confirmed with angiography. Surgical treatment was performed successfully with reimplantation of the anomalous vessel in the aorta.

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Date Created: 19950601 Date Completed: 19951011 Latest Revision: 20161123

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