Open Access Case report

A long-term survivor of Bland-White-Garland syndrome with systemic collateral supply: A case report and review of the literature

N Barbetakis1*, A Efstathiou1, N Efstathiou2, P Papagiannopoulou3, V Soulountsi3 and I Fessatidis1

Author Affiliations

1 Cardiothoracic Surgery Department, Geniki Kliniki, Thessaloniki, Greece

2 Cardiology Department, Geniki Kliniki, Thessaloniki, Greece

3 Intensive Care Unit, Geniki Kliniki, Thessaloniki, Greece

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BMC Surgery 2005, 5:23  doi:10.1186/1471-2482-5-23

Published: 15 December 2005



land-White-Garland syndrome (anomalous origin of the left coronary artery from the pulmonary artery) is a rare disease which may result in myocardial infarction, congestive heart failure and sometimes death during the early infantile period. Case presentation: A succesfully treated case of a 45-year-old mother of 2 children with Bland-White-Garland syndrome and concomitant severe mitral regurgitation is presented. Subsequent therapy consisted of ligation of the anomalous origin of the left coronary artery, anastomosis of the left internal mammary artery to the left anterior descending branch and mitral valve replacement. Continuous blood flow from the left coronary artery ostium during extracorporeal circulation and aorta clamping suggested systemic collateral supply. Conclusions: Recognition and diagnosis of Bland-White-Garland syndrome is important due to its potentially life-threatening complications.