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ECHOCARDIOGRAPHY FEATURES FOR BLAND-WHITE-GARLANDSYNDROME DIAGNOSIS IN ADULTS

Abstract

Bland-White-Garland syndrome (BWFS) is an abnormal arising of the left coronary artery (LCA) from the pulmonary artery trunk (PA), (in English-speaking literature ALCAPA – anomalous left coronary artery arising from the pulmonary artery) and it is rather rare pathology, 0,24-0,45% of cases of all congenital heart diseases. There are infantile and adult types described. In most cases, this anatomic anomaly is found at children or teenage age. We present the observations of patients with the BWGS adult type in this article and analyze possibilities of ECG while diagnosing this rare condition.

About the Authors

E. V. Vyskubova
Scientific Research Institute – Ochapovsky Regional Clinic Hospital #1.
Russian Federation

Ultrasound physician, department of ultrasound diagnosis.

350086, Krasnodar, 167, 1 st May str.



N. V. Soroka
Scientific Research Institute – Ochapovsky Regional Clinic Hospital #1.
Russian Federation

Ultrasound physician, department of ultrasound diagnosis.



O. Y. Solodilova
Scientific Research Institute – Ochapovsky Regional Clinic Hospital #1.
Russian Federation

Ultrasound physician, department of ultrasound diagnosis.



I. A. Shelestova
Scientific Research Institute – Ochapovsky Regional Clinic Hospital #1; Kuban State Medical University.
Russian Federation

CMS, associate professor, deputy chief physician for polyclinic work; assistant professor, department of cardiac surgery and cardiology ATF.



References

1. Askenazi J., Nadas A.S. Anomalous left coronary artery originating from the pulmonary artery. Report on 15 cases. Circulation. 1975;51(6):976-987.

2. Нарциссова Г.П., Волкова И.И. Ультразвуковая диагностика синдрома Бланда-Уайта-Гарланда, трудности и ошибки. Сибирский медицинский журнал. 2015. №30 (3). С.49-52. [Nartsissova GP, Volkova II. Ultrasonic diag-nosis of Bland-White-Garland syndrome, difficulties and errors. Siberian Medical Journal. 2015; 30(3):49-52. (In Russ.)].

3. Vouhe P.R. Baillot – Vernant F., Trinquet F., Sidi D., de Geeter B., Khoury W. et al. Anomalous left coronary artery from the pulmonary artery in infants.Journal of Thoracic and Cardiovascular Surgery. 1987; 94:192-199.

4. Целуйко В.И., Мищук Н.Е., Киношенко К.Ю. Аномалии строения коронарных артерий (часть 1). Лики Украины. 2012. №10. С. 44-61. [Tseluyko V.I., Mischuk N.E., Kinoshenko K.Yu. Anomalies in the structure of the coronary arteries (part 1). Faces of Ukraine. 2012;10:44-61. (In Russ.)].

5. Alexi-Meskishivili V., Berger F., Weng Y., Lange P.E., Hetzer R. Anomalous origin of the left coronary artery from the pulmonary artery in adults. Journal of cardiac surgery. 1995;10:309-315.

6. Pena E., Nquyen E.T., Merchant N., Dennie C. ALCAPA syndrome: not just a pediatric disease. Radiographics. 2009; 29: 553-565.

7. Yau J.M., Singh R., Halpern E.J., Fischman D. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clinical cardiology. 2011;34:204-210.

8. Алексеева Ю.М., Потиевская В.И., Сакович Е.А., Ситников А.В., Союстова Е.Л., Финько В.А., Ардашев А.В. Редкий случай синдрома Бланда-Уайта-Гарланда у взрослой пациентки. Кардиология. 2012. №11. С.104-109. [Alekseeva Yu.M., Potievskaya V.I., Sakovich E.A., Sitnikov A.V., Soyustova E.L., Finko V.A., Ardashev A.V. A rare case of the Bland-WhiteGarland syn-drome in an adult patient. Cardiology. 2012;11:104-109. (In Russ.)].

9. Джураева Н.М., Икрамов А.И., Зулина Т.А. и др. Аномальное отхождение левой коронарной артерии от ствола легочной артерии: оценка роли КТ-ангиографии сердца (клиническое наблюдение). Медицинская визуализация. 2016. № 5. С.36-42. [Dzhuraeva N.M., Ikramov A.I., Zulina T.A. et al. Anomalous divergence of the left coronary artery from the pulmonary artery: assessment of the role of CT angiography of the heart (clinical case). Medical imaging. 2016;5:36-42. (In Russ.)].

10. Васильцева О.Я., Бощенко А.А., Горлова А.А., Гладких Н.Н., Завадовский К.В., Винтизенко С.И., Козлов Б. Н. Синдром ALCAРA у взрослых. Российский кардиологический журнал. 2018. №2(154). С. 107-114. [Vasiltseva O.Ya., Boshchenko A.A., Gorlova A.A., Gladkikh N.N., Zavadovsky K.V., Vintizenko S.I., Kozlov B.N. The ALCAPA syndrome in adults.Russian Cardiology journal. 2018;2(154):107-114. (In Russ.)].

11. Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation. 2007;115:1296-1305.


Review

For citations:


Vyskubova E.V., Soroka N.V., Solodilova O.Y., Shelestova I.A. ECHOCARDIOGRAPHY FEATURES FOR BLAND-WHITE-GARLANDSYNDROME DIAGNOSIS IN ADULTS. Innovative Medicine of Kuban. 2018;(3):53-58. (In Russ.)

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