- Author:
Sahng LEE
1
;
Jang Won SOHN
;
Suhk Nam YOON
;
Jae Ung LEE
;
Chung Soo KIM
;
Jeong Hyun KIM
;
Heon Kil LIM
;
Bang Hun LEE
;
Chung Kyun LEE
Author Information
- Publication Type:Case Report
- MeSH: Adult; Angiography; Bland White Garland Syndrome; Child; Coronary Vessels; Humans; Infant; Male; Middle Aged; Mortality; Pulmonary Artery
- From:Journal of the Korean Society of Echocardiography 1994;2(1):96-103
- CountryRepublic of Korea
- Language:Korean
- Abstract: The congenital anomalous origin of the left coronary artery arising from the pulmonary artery, or the Bland-White-Garland syndrome, is uncommon but frequently lethal lesion of both children and adults. In several series, it has a frequency of 0.26-0.46% of all congenital cardiac defects. The mortality rate among infants and children without operation has been eighty to ninety percent. Survival to teen-age and adult has been infrequent ; review of the literature regarding this anomaly in Korean disclosed only 3 cases in infants and children and 2 cases in adults. In a 45-year-old male with palpitation and effort angina, the anomalous origin of the left coronary artery from the pulmonary artery was diagnosed by echocardiogram and coronary arteriography.