Anomalous Origin of Left Coronary Artery from the Pulmonary Trunk in a Mildly Symptomatic Adult Female

Kevin Fan-Ying Tseng

doi:10.1155/2013/840741

Abstract

Anomalous origin of the left coronary artery from the pulmonary trunk, also known as Garland-Bland-White syndrome, is an extremely rare but potentially fatal congenital cardiovascular anomaly, and it often exists as an isolated condition. We hereby report an adult female who was admitted for mild chest discomfort and was accidentally diagnosed to have anomalous origin of the left coronary artery from the pulmonary trunk. This anomaly was simply repaired by using a bovine pericardial patch to obliterate the anomalous opening in the pulmonary trunk and a single coronary artery bypass graft. This report highlights the characteristic events of the anomaly in an adult with only mild symptoms.

Highlights

Anomalous origin of the left coronary artery from the pulmonary trunk, known as Garland-Bland-White syndrome, is an extremely rare but potentially fatal congenital cardiovascular anomaly, and it often exists as an isolated condition
Some reports have found its association with tetralogy of Fallot (TOF), complete atrioventricular septal defect, and aortopulmonary (AP) window, which arises secondary to failure of septation in the aorticopulmonary trunk [1,2,3,4,5,6,7,8,9,10]
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was first described by Brook in 1886 [11], and, in 1933, Bland, White, and Garland reported the clinical syndrome of this disease for the first time [1,2,3, 7, 10, 12,13,14,15]

Summary

Introduction

Anomalous origin of the left coronary artery from the pulmonary trunk, known as Garland-Bland-White syndrome, is an extremely rare but potentially fatal congenital cardiovascular anomaly, and it often exists as an isolated condition. Some reports have found its association with tetralogy of Fallot (TOF), complete atrioventricular septal defect, and aortopulmonary (AP) window, which arises secondary to failure of septation in the aorticopulmonary trunk [1,2,3,4,5,6,7,8,9,10]

Case Report

Findings

Discussion

Conclusion