Document Detail


Magnetic resonance studies in management of adult cases with Bland-White-Garland syndrome.
MedLine Citation:
PMID:  17306388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bland-White-Garland syndrome (BWG) is a rare congenital anomaly that is predominantly discovered in infancy. BWG is characterized by an anomalous origin of the left coronary trunk from the pulmonary artery that produces a coronary steal phenomenon, left-to-right shunt, and thus an abnormal left ventricular perfusion. The latter may induce myocardial necrosis, left ventricular dysfunction and commonly associated with mitral regurgitation. Despite its high mortality without surgical repair in infancy, several cases were reported to reach adulthood. In some patients, however, BWG was revealed only in older age, and may cause mild symptoms. Recent developments in cardiovascular MRI enable the determination of heart function, viability and perfusion with high resolution. We present three middle-aged female BWG cases indicating that MRI studies may give further insight into the therapeutic decision making in this age-group.
Authors:
András Komócsi; Tamás Simor; Levente Tóth; Sándor Szabados; Ferenc Mágel; Tünde Pintér; Dániel Aradi; Attila Kónyi; Iván G Horváth; Lajos Papp
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Publication Detail:
Type:  Case Reports; Letter     Date:  2007-02-15
Journal Detail:
Title:  International journal of cardiology     Volume:  123     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-26     Completed Date:  2007-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e8-11     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis*
Coronary Vessel Anomalies / diagnosis*
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging / methods*
Middle Aged
Pulmonary Artery / abnormalities*,  pathology
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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