Bland-White-Garland syndrome in an adult - Case report and review of diagnostic and predictive strategies

Gunaydin S., Gokgoz L., Unlu M., Sinci V., Soncul H., Metin M., ...Daha Fazla

SCANDINAVIAN CARDIOVASCULAR JOURNAL, cilt.31, sa.2, ss.105-109, 1997 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Konu: 2
  • Basım Tarihi: 1997
  • Doi Numarası: 10.3109/14017439709058078
  • Sayfa Sayıları: ss.105-109


In a 27-year-old man with Bland-White-Garland syndrome (anomalous origin of the left coronary artery from the pulmonary artery), comparison was made between conventional diagnostic techniques and radionuclide imaging for selection of surgical procedure and evaluating the outcome. Dynamic Tc-99m imaging exactly located the left coronary artery orifice, which was not seen on angiography, thereby determining the surgical approach, and I-123 study revealed that, despite absence of symptoms, the adrenergic activity of the heart was globally diminished, with limited response to revascularization.