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

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.

Download Full-text

Single coronary artery giving rise to an intraseptal left coronary artery in a patient presenting with neurocardiogenic syncope

Cardiology in the Young ◽

10.1017/s1047951111000606 ◽

2011 ◽

Vol 21 (5) ◽

pp. 572-576 ◽

Cited By ~ 5

Author(s):

Jonathan N. Johnson ◽

Crystal R. Bonnichsen ◽

Paul R. Julsrud ◽

Harold M. Burkhart ◽

Donald J. Hagler

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Left Coronary Artery ◽

Left Internal Mammary Artery ◽

Artery Bypass ◽

Bypass Graft ◽

Postural Orthostatic Tachycardia Syndrome ◽

Single Coronary Artery ◽

Neurocardiogenic Syncope ◽

The Right

AbstractBackgroundSyncope occurs frequently in adolescents, and is often benign. Potential worrisome syncopal events include those occurring with exertion, concurrent chest pain, dyspnoea or palpitations, and those with focal or diffuse neurologic changes.CaseA 16-year-old female was referred to our institution for a history of exercise-induced spells. She was diagnosed since the age of 2 years with neurocardiogenic syncope and postural orthostatic tachycardia syndrome. She had been evaluated at multiple institutions, and was followed by pediatric neurology for a diagnosis of migraines. Owing to recurrent worsening symptoms and a syncopal episode requiring resuscitation, an echocardiogram was performed. The right coronary was normal, but the left coronary artery ostium could not be identified well. Doppler patterns were suspicious of an abnormal left coronary artery, and computed tomography angiography was performed. This revealed a single coronary artery arising from the right aortic sinus, with the left coronary artery arising from the proximal coronary trunk and coursing through the infundibular septum. This was surgically treated utilising a left internal mammary artery bypass graft to the left anterior descending coronary artery. A year later, she has not experienced any recurrence of syncope, and has returned to athletic activity.ConclusionThis case highlights the index of suspicion that must be present when evaluating any patient with syncope, both clinically and via echocardiography. A computed tomography angiogram is indicated for better evaluation of coronary artery anatomy when an anomalous coronary cannot be ruled out by echocardiography.

Download Full-text

Anomalous Origin of the Left Anterior Descending Coronary Artery in an Adult

The Thoracic and Cardiovascular Surgeon Reports ◽

10.1055/s-0040-1721470 ◽

2021 ◽

Vol 10 (01) ◽

pp. e9-e10

Author(s):

Keisuke Shibagaki ◽

Chikara Shiiku ◽

Hiroyuki Kamiya ◽

Yoichi Kikuchi

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Coronary Artery ◽

Pulmonary Artery ◽

Congenital Heart ◽

Left Coronary Artery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Anomalous Origin ◽

Bypass Grafting

AbstractAn anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease. Among the variants, an anomalous origin of the left anterior descending coronary artery from the pulmonary artery (ALADPA) is extremely rare. Here, we report a case of ALADPA in an adult that was treated with coronary artery bypass grafting using the left internal thoracic artery.

Download Full-text