Abstract
In a 44-year-old woman admitted due to exertional anginasymptoms, diagnostic coronary angiography (Fig. 1) demon-strated an enlarged right coronary artery with profuse septalcollaterals communicating with the left anterior decendingand left circumflex arteries, and finally draining into the pul-monary artery (PA) via the left main coronary artery (LMCA).Multislice computed tomography (Fig. 2) showed an anoma-lous connection between the LMCA and the PA, further con-firming the diagnosis of Bland-White-Garland syndrome. Thepatient later received bypass surgery and the orifice of LMCAwas repaired with an equine pericardial patch from inside ofthe main PA. Finally, the patient recovered uneventfully.
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