Document Detail

Bland-White-Garland syndrome with ventricular septal defect: late presentation.
MedLine Citation:
PMID:  19830519     Owner:  NLM     Status:  In-Process    
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.
Noriyoshi Kajihara; Toshihide Asou; Yuko Takeda; Yoshimichi Kosaka
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Publication Detail:
Type:  Journal Article     Date:  2009-10-16
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  57     ISSN:  1863-6713     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  547-9     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Minami-ku, Yokohama, Japan.
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