TY - JOUR
T1 - Anomalous origin of the left coronary artery from the pulmonary artery in an adult pregnant patient
T2 - Surgical and percutaneous myocardial revascularization
AU - Zavalloni, Dennis
AU - Belli, Guido
AU - Caratti, Alberto
AU - Presbitero, Patrizia
PY - 2005/4
Y1 - 2005/4
N2 - An anomalous origin of the left coronary artery (Bland-White-Garland syndrome) was diagnosed in a 31-year-old woman complaining of angina at 10 weeks of gestation. After termination of pregnancy, the patient underwent surgical repair with ligation of the left coronary artery at the ostium, and a single bypass graft with a left internal thoracic artery to the left anterior descending coronary artery. Angiography, performed at 6 months of follow-up, showed stenosis of the distal anastomosis of the graft that was treated with angioplasty and deployment of a paclitaxel-eluting stent. After 9 months the patient was symptom-free and angiography excluded in-stent restenosis. Experience with the surgical repair of the anomaly is limited by the rarity of this condition; in particular, it has never been reported as a first diagnosis during pregnancy. In the discussion, we analyze the efficacy and limits of the different current strategies for the surgical repair of this rare, but potentially life-threatening, congenital coronary anomaly.
AB - An anomalous origin of the left coronary artery (Bland-White-Garland syndrome) was diagnosed in a 31-year-old woman complaining of angina at 10 weeks of gestation. After termination of pregnancy, the patient underwent surgical repair with ligation of the left coronary artery at the ostium, and a single bypass graft with a left internal thoracic artery to the left anterior descending coronary artery. Angiography, performed at 6 months of follow-up, showed stenosis of the distal anastomosis of the graft that was treated with angioplasty and deployment of a paclitaxel-eluting stent. After 9 months the patient was symptom-free and angiography excluded in-stent restenosis. Experience with the surgical repair of the anomaly is limited by the rarity of this condition; in particular, it has never been reported as a first diagnosis during pregnancy. In the discussion, we analyze the efficacy and limits of the different current strategies for the surgical repair of this rare, but potentially life-threatening, congenital coronary anomaly.
KW - Coronary artery anomaly
KW - Drug-eluting stents
KW - Pregnancy
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M3 - Article
C2 - 15902936
AN - SCOPUS:23044450324
VL - 6
SP - 348
EP - 352
JO - Italian Heart Journal
JF - Italian Heart Journal
SN - 1129-471X
IS - 4
ER -