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Revista Mexicana de Cardiología

ISSN 0188-2198 (Print)
En 2019, la Revista Mexicana de Cardiología cambió a Cardiovascular and Metabolic Science

Ver Cardiovascular and Metabolic Science


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2014, Number 2

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Rev Mex Cardiol 2014; 25 (2)

Dysfunction protesis mitral in a patient with white garland syndrome Bland-White-Garland

Álvarez-Torrecilla LC, González-Coronado J, Flores-López EN, García-Padilla E, Ruiz-Fuentes A
Full text How to cite this article

Language: Spanish
References: 7
Page: 118-120
PDF size: 335.30 Kb.


Key words:

Bland-White-Garland, congenital anomaly, myocardium.

ABSTRACT

Coronary anomalies have an incidence in the general population of 0.2 to 1.2 %, of which the most common is the anomalous origin of the left coronary artery from the main pulmonary artery, known as ALCAPA (anomalous left coronary artery from pulmonary artery). It is a rare anomaly representing 0.25 to 0.5 % of all heart disease. The implementation of the left coronary artery from the main pulmonary artery also known as Bland-White-Garland syndrome is the most common coronary anomaly. Case Report: Female 51-year-old show, who electively income for preoperative cardiac catheterization and Protocol were valve replacement for mitral prosthesis dysfunction where was found immobility of a disk. Immobility was found, patient had a history of mitral valve replacement for 15 years for congenital prolapse, during cardiac catheterization of anomalous left coronary implant situation that had not been detected in the first surgical event, presented in medical and surgical session and being accepted for coronary valve replacement reconnection is more evidence, taking procedure without complications. Conclusions: Although BWG syndrome is a rare disease presenting in adulthood, knowledge of this congenital anomaly is important because early diagnosis and treatment can prevent irreversible damage to the myocardium.


REFERENCES

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  2. Moodie DS, Gill CC, Cook SA. Anomalous origin of the left coronary artery from the pulmonary artery in adult patient: long term follow-up after surgery. Am Heart J. 1983; 106: 381-388.

  3. Dickinson DF. The Normal ECG in childhood and adolescence. Heart. 2005; 91: 1626-1630.

  4. Brooks HS. Two cases of abnormal coronary artery of the heart arising from de pulmonary artery with some remarks upon effect of this anomaly in producing cricoid dilatation of the vessels. J Anat Physiol. 1886; 20: 26-29.

  5. Bland EF, White PD, Garland J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hyerpertrophy. Am Heart J. 1933; 8: 787-801.

  6. Johns rude CL, Perry JC, Cecchin F, Smith EO, Fraley K, Friedman RA et al. Differentiating anomalous left main coronary artery originating from the pulmonary artery in infants from myocarditis and dilated cardiomyopathy by electrocardiogram. Am J Cardiol. 1995; 75: 71-74.

  7. Takeuchi S, Imamura H, Katsumoto K, Hayashi I, Katohgi T, Yozu R et al. New surgical method for repair of anomalous left coronary artery from pulmonary artery. J Thorac Cardiovasc Surg. 1979; 78: 7-11.




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Rev Mex Cardiol. 2014;25