title: Bland-White-Garland syndrome in an adult. Case report and review of diagnostic and predictive strategies.
abstract: In a 27-year-old man with Bland-White-Garland syndrome (anomalous origin of the left coronary artery from the pulmonary artery), comparison was made between conventional diagnostic techniques and radionuclide imaging for selection of surgical procedure and evaluating the outcome. Dynamic 99mTc imaging exactly located the left coronary artery orifice, which was not seen on angiography, thereby determining the surgical approach, and 123I study revealed that, despite absence of symptoms, the adrenergic activity of the heart was globally diminished, with limited response to revascularization.
authors.affiliation: Department of Cardiovascular Surgery, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Gunaydin
authors.forename: L
authors.initials: L
authors.lastname: Gokgoz
authors.forename: M
authors.initials: M
authors.lastname: Unlu
authors.forename: V
authors.initials: V
authors.lastname: Sinci
authors.forename: H
authors.initials: H
authors.lastname: Soncul
authors.forename: M
authors.initials: M
authors.lastname: Metin
authors.forename: S
authors.initials: S
authors.lastname: Inanir
authors.forename: V
authors.initials: V
authors.lastname: Halit
mesh_terms: D000328:Adult; D002316:Cardiotonic Agents; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D004280:Dobutamine; D015150:Echocardiography, Doppler; D005080:Exercise Test / Q000379:methods; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity; D013577:Syndrome; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*
chemical_list: D002316:Cardiotonic Agents; D004280:Dobutamine