title: Coronary artery bypass grafting with bilateral internal thoracic arteries for Bland-White-Garland syndrome in an adult.
abstract: A 46-year-old man with anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) is reported. We successfully performed coronary artery bypass grafting with the use of bilateral internal thoracic arteries and ligation of the anomalous left coronary artery. The patient was discharged from the hospital after an uneventful postoperative course and postoperative coronary angiography, which revealed patent internal thoracic arteries and no leakage of blood flow from the anomalous left coronary artery to the pulmonary artery. This surgical procedure is technically simple and useful for adult patients with Bland-White-Garland syndrome. To our knowledge, this is one of only a few reports on coronary artery bypass grafting with bilateral internal thoracic arteries as a treatment of Bland-White-Garland syndrome.
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Nakatsu Hospital, Osaka, 530-0012, Japan. 16004@nakatsu.saiseikai.or.jp
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Iwahashi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Omura
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Kawahira
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Okada
mesh_terms: D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006324:Heart Arrest, Induced; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency