[Surgical treatment of the abnormal origin of the left coronary artery from the pulmonary artery. The Bland-White-Garland syndrome].
Seven children aged 6 weeks to 9 months with anomalous left coronary artery originating from the pulmonary artery and a 46-year-old female patient with pronounced formation of collaterals in Bland-White-Garland syndrome and left-right shunt were operated between July 1976 and February 1984. All children had already experienced left ventricular anterior wall infarction. Angiocardiography in 6 cases established the diagnosis, in one case echocardiography had proved sufficient. In the children, close-to-origin ligation of the left coronary artery was done after median sternotomy. One child succumbed postoperatively whereas in all others preoperative cardiac insufficiency regressed satisfactorily. In the adult female close-to-origin cutting of the left coronary artery was followed by aorto-coronary venous bypass.
Greve
H
H
Achatzy
R
R
Dittrich
H
H
D006332:Cardiomegaly / Q000209:etiology; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D004562:Electrocardiography; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011654:Pulmonary Edema / Q000209:etiology; D013577:Syndrome
Chirurgische Behandlung des anomalen Ursprungs der linken Koronararterie aus der Arteria pulmonalis. Bland-White-Garland-Syndrom.