Bland-White-Garland syndrome in an adult

• Published in: Zeitschrift für Kardiologie 2004-01, Vol.93 (1), p.58-62
• Main Authors: Tiroke, A, Herrmann, G, Lins, M, el Mokhtari, N, Reinecke, A, Wieckhorst, A, Cremer, J, Simon, R
• Format: Article
• Language: ger
• Subjects: Coronary Angiography; Coronary Vessel Anomalies - diagnosis; Coronary Vessel Anomalies - surgery; Echocardiography; Female; Follow-Up Studies; Heart Failure - diagnosis; Heart Failure - etiology; Heart Failure - surgery; Heart Valve Prosthesis Implantation; Humans; Hypertension, Pulmonary - diagnosis; Hypertension, Pulmonary - etiology; Hypertension, Pulmonary - surgery; Middle Aged; Mitral Valve Insufficiency - diagnosis; Mitral Valve Insufficiency - etiology; Mitral Valve Insufficiency - surgery; Myocardial Revascularization; Postoperative Complications - diagnosis; Pulmonary Artery - abnormalities; Pulmonary Artery - surgery; Ventricular Dysfunction, Left - diagnosis; Ventricular Dysfunction, Left - etiology; Ventricular Dysfunction, Left - surgery
• ISSN: 0300-5860
• DOI: 10.1007/s00392-004-1039-3

We report about a 47-year-old woman, who presented with a history of cardiac failure. Echocardiography showed an impaired left ventricular function, clinically significant mitral regurgitation and pulmonary hypertension. Diagnosis of a Bland- White-Garland syndrome was made by coronary angiography. Subsequent therapy consisted of ligation of the anomalus origin of the left coronary artery, implantation of a Mammaria interna graft to the left coronary artery and replacement of the mitral valve by a mechanical prosthesis. One year after operation, left ventricular function was still impaired. At a 3-year follow-up, left ventricular function improved continuously.