Michael Zacharias1, Dinesh Chandok1, Dennis Tighe1. 1. Department of Internal Medicine, Division of Cardiovascular Medicine, University of Massachusetts, Worcester, MA, USA.
Abstract
BACKGROUND: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms. CASE REPORT: A 66-year-old woman who presented for pre-operative surgical risk assessment for hip surgery underwent a nuclear stress test which revealed a large reversible anterior defect. At coronary angiography she was found to have ALCAPA. CONCLUSIONS: This is a rare case of ALCAPA due to the patient's age. Survival to adulthood is possible and patients may remain relatively asymptomatic for years.<Learning objective: Discuss the common clinical manifestations of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Discuss the imaging findings of ALCAPA. Discuss the treatment options for ALCAPA.>.
BACKGROUND: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms. CASE REPORT: A 66-year-old woman who presented for pre-operative surgical risk assessment for hip surgery underwent a nuclear stress test which revealed a large reversible anterior defect. At coronary angiography she was found to have ALCAPA. CONCLUSIONS: This is a rare case of ALCAPA due to the patient's age. Survival to adulthood is possible and patients may remain relatively asymptomatic for years.<Learning objective: Discuss the common clinical manifestations of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Discuss the imaging findings of ALCAPA. Discuss the treatment options for ALCAPA.>.
Entities:
Keywords:
Anomalous origin of the left coronary artery from the pulmonary artery; Bland–White–Garland syndrome; Congenital coronary anomaly
Authors: N Barbetakis; A Efstathiou; N Efstathiou; P Papagiannopoulou; V Soulountsi; I Fessatidis Journal: BMC Surg Date: 2005-12-15 Impact factor: 2.102