[Bland-White-Garland syndrome in an adult].
We report about a 47-year-old woman, who presented with a history of cardiac failure. Echocardiography showed an impaired left ventricular function, clinically significant mitral regurgitation and pulmonary hypertension. Diagnosis of a Bland- White-Garland syndrome was made by coronary angiography. Subsequent therapy consisted of ligation of the anomalus origin of the left coronary artery, implantation of a Mammaria interna graft to the left coronary artery and replacement of the mitral valve by a mechanical prosthesis. One year after operation, left ventricular function was still impaired. At a 3-year follow-up, left ventricular function improved continuously.
Tiroke
A
A
Klinik für Kardiologie, Universitätsklinikum Schleswig-Holstein Campus Kiel, Schittenhelmstr. 12, 24105 Kiel, Germany. Tiroke@cardio.uni-kiel.de
Herrmann
G
G
Lins
M
M
el Mokhtari
N
N
Reinecke
A
A
Wieckhorst
A
A
Cremer
J
J
Simon
R
R
D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000175:diagnosis; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery