Acute presentation in adult in Bland-White-Garland syndrome: double-conduit, two-coronary repair.
Adult presentation with myocardial infarction in anomalous origin of the left main coronary artery from the pulmonary artery is rare. We describe the different coronary flow physiology in the adult form. A double-conduit repair with a separate feeder vessel to each limb of the left coronary circulation may be necessary to balance the myocardial demand and supply in large systemic collateral coronary beds. The report describes the use of the left internal mammary and radial artery for repair.
Luthra
Suvitesh
S
Department of Cardiology and Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia. suviteshluthra@yahoo.com
Skillington
Peter
P
Grigg
Leeanne
L
D000208:Acute Disease; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D017534:Radial Artery / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods*