title: "Steal" collaterals: an echocardiographic diagnostic marker for anomalous origin of the left main coronary artery from the pulmonary artery in the adult.
abstract: Anomalous origin of the left main coronary artery from the pulmonary artery, also known as Bland-White-Garland syndrome, is a rare malformation. Few patients survive past childhood without surgical repair, and up to 90% die suddenly at a mean age of 35 years. We describe a case of a 60-year-old patient with anomalous origin of the left main coronary artery from the pulmonary artery in which 2-dimensional and color flow Doppler visualization of the intercoronary (so-called "steal") collaterals was the first marker that alerted the examiner to the possibility of this diagnosis, subsequently guided step-by-step the echocardiographic approach.
authors.affiliation: Department of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy. pisacane@aliceposta.it
authors.forename: Carlo
authors.initials: C
authors.lastname: Pisacane
authors.forename: Salvatore Comenale
authors.initials: SC
authors.lastname: Pinto
authors.forename: Paola
authors.initials: P
authors.lastname: De Gregorio
authors.forename: Francesca
authors.initials: F
authors.lastname: Pisacane
authors.forename: Vittorio
authors.initials: V
authors.lastname: Monda
authors.forename: Pio
authors.initials: P
authors.lastname: Caso
authors.forename: Raffaele
authors.initials: R
authors.lastname: Calabrò
mesh_terms: D003097:Collateral Circulation; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging*