Bland-White-Garland syndrome with ventricular septal defect: late presentation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-10

AUTHORS

Noriyoshi Kajihara, Toshihide Asou, Yuko Takeda, Yoshimichi Kosaka

ABSTRACT

Bland-White-Garland syndrome has been reported generally to occur in an isolated lesion. Here, we report a case of Bland-White-Garland syndrome associated with a ventricular septal defect. Late onset of myocardial ischemia was noted in this patient, which we think is related to increased coronary steal due to regression of pulmonary hypertension caused by narrowing of the ventricular septal defect. At surgery, we temporally occluded the left main coronary trunk to cease the coronary steal phenomenon and augment the left coronary flow. Direct implantation of the left coronary artery and closure of the ventricular septal defect were performed. The postoperative course was excellent with no evidence of myocardial ischemia. More... »

PAGES

547-549

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11748-009-0427-z

DOI

http://dx.doi.org/10.1007/s11748-009-0427-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026266824

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19830519


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