title: [Coronary artery bypass graft for Bland-White-Garland syndrome in an old age; report of a case].
abstract: We report a case of Bland-White-Garland syndrome with advanced age. The patient, a 67-year-old women, presented with a history of congestive heart failure. Coronary catheterization revealed an anomalous origin of the left coronary artery (LCA) from the trunk of the pulmonary artery and huge right coronary aneurysm. Myocardial single photon emission computed tomography (SPECT) showed previous myocardial infarction with reversible ischemia in left anterior descending (LAD) region. We performed LCA direct closure and coronary artery bypass graft. The patient recovered uneventfully without signs of ischemia. Although a bypass graft was patent, left ventricular function had not been improved immediately probably due to the coronary flow pattern changes.
authors.affiliation: Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Masahide
authors.initials: M
authors.lastname: Komagamine
authors.forename: Satoshi
authors.initials: S
authors.lastname: Saito
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nishinaka
authors.forename: Ken
authors.initials: K
authors.lastname: Katsube
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamazaki
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005260:Female; D006801:Humans