Congenital anomalies of the coronary arteries: Report of an unusual case associated with cardiac hypertrophy

Bland, Edward F.; White, Paul D.; Garland, Joseph

doi:10.1016/s0002-8703(33)90140-4

Cited by 460 publications

(154 citation statements)

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“…left coronary artery coming out of the pulmonary artery and right coronary artery coming out of the aorta (Bland-WhiteGarland syndrome) 1 , which is exactly the type of syndrome reported in this study. ALCAPA develops before birth when the blood and lung pressure is equal and there is an antegrade flow in both coronary arteries.…”

Section: Figure 2 -Three-dimensional Reconstruction By Volume Renderisupporting

confidence: 82%

“…Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA) was first described in 1908 in a 60-year old female patient 1 . Subsequently, Bland et al 1 described the same syndrome in 1933, studying the clinical and autopsy findings of a 3-month old child with dyspnea and myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

“…Such anomalous origin of coronary artery is extremely rare in adults and in the elderly 7 . The clinical features of this syndrome is generally nonspecific, with signs and symptoms such as syncope, arrhythmias, fatigue, nocturnal dyspnea and, less commonly, angina [1][2][3][4][5] . On examination we can find systolic murmur and ischemic changes (lateral wall) or adverse consequences from myocardial infarction on electrocardiogram (ECG) 3,4,9 .…”

Section: Figure 2 -Three-dimensional Reconstruction By Volume Renderimentioning

confidence: 99%

“…Anomalies stemming from coronary arteries are estimated to be about 1% of the general population according to studies deriving from coronary angiography [1][2][3][4] performed in suspected obstructive diseases. In autopsy studies, we see a lower incidence, as in the study by Alexander and Griffiths 5 , in which 18,950 autopsies observed only 54 cases of origin anomalies (0.3%).…”

Section: Introductionmentioning

confidence: 99%

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Origem Anômala da Coronária (ALCAPA) em tomógrafo de 64 canais

Nacif¹,

Luz²,

Moreira³

et al. 2010

Arq. Bras. Cardiol.

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Tomography; coronary disease; heart defects, congenital.Multidetector computed tomography (MDCT) with 64 channels provides to clinical practice an excellent method to detect coronary artery anomalies. The diagnosis of coronary anomalies consisting of origin of left coronary artery in the pulmonary trunk in adults with no history of congenital disease has few reports in literature. We report a case in a 30-year old female patient complaining of fatigue on major efforts and positive scintigraphy for ischemia. The diagnosis was made through 64-channel MDCT and thus it appears that the method can be used as baseline.

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Section: Figure 2 -Three-dimensional Reconstruction By Volume Renderisupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Figure 2 -Three-dimensional Reconstruction By Volume Renderimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Origem Anômala da Coronária (ALCAPA) em tomógrafo de 64 canais

Nacif¹,

Luz²,

Moreira³

et al. 2010

Arq. Bras. Cardiol.

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“…ALCAPA may also be known as Bland, White, and Garland syndrome after a published report of the constellation of symptoms, electrocardiographic (ECG) changes and confirmation of ALCAPA on post mortem examination of an infant. 6 Symptoms are secondary to LV ischaemia due to retrograde flow of blood from the RCA then via collaterals to LCA with draining into the pulmonary artery (PA). Therefore the foetus is protected from left ventricular ischaemia as systemic and pulmonary arterial pressures are equal intra-uterine allowing anterograde flow down both left and right coronary arteries.…”

Section: Discussionmentioning

confidence: 99%

Anomalous origin of the left coronary artery from the pulmonary artery: case report and review

2016

Br J Cardiol

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Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital condition that proves to be fatal in most individuals during childhood due to significant left ventricular ischaemia. However there are case reports of individuals surviving into adulthood that have varying presenting symptoms. We report a case of a young male who presented to our cardiology clinic with typical ischaemic cardiac pain with no established risk factors and found to have anomalous origin of the left coronary artery from the pulmonary artery that was subsequently surgically corrected.

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So-Called Congenital Idiopathic Hypertrophy of the Heart

Benjamin¹

1940

Arch Pediatr Adolesc Med

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A survey of the literature reveals that under the heading "congenital idiopathic hypertropy of the heart" numerous pathologic conditions are included. In some of the cases the cause for the hypertrophy is known and therefore the cardiac enlargement should not be identified as "idiopathic." To this group in particular belong the cases of glycogen storage disease,1 cases of enlargement of the heart associated with hypertension 2 and cases of enlargement accompanying severe anemia.3 In a much larger number of cases, while the etiologic factors are not absolutely established, cardiovascular abnormalities and/or pathologic changes are reported which could have some causal relation to the cardiac hypertrophy. This group comprises cases in which there are anomalies of the great vessels,4 abnormalities of the origin and distribution of the coronary arteries,5 rhabdomyomas,6 myocardial degeneration and pericardial, endocardial and perivascular fibrosis.7 From the Department of Pediatrics and the Pathological

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Congenital anomalies of the coronary arteries: Report of an unusual case associated with cardiac hypertrophy

Cited by 460 publications

References 12 publications

Origem Anômala da Coronária (ALCAPA) em tomógrafo de 64 canais

Origem Anômala da Coronária (ALCAPA) em tomógrafo de 64 canais

Anomalous origin of the left coronary artery from the pulmonary artery: case report and review

So-Called Congenital Idiopathic Hypertrophy of the Heart

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