Anomalous left coronary artery from the pulmonary artery: A case report and literature review

doi:10.3969/j.issn.1004-583X.2023.07.006

Abstract

Abstract:

Objective To explore the diagnosis and treatment of the anomalous left coronary artery from the pulmonary artery (also known as Bland-White-Garland [BWG] syndrome) in the elderly. Methods A retrospective analysis was performed on an elderly patient with BWG syndrome, and the relevant literature was reviewed. Results A 66-year-old male patient presented repeated intermittent chest tightness and shortness of breath within the past 2 years, which was aggravated after exertion and not relieved after rest. Color Doppler ultrasound of the heart and computed tomography angiography (CTA) of the coronary artery confirmed the diagnosis of BWG syndrome. After a comprehensive assessment, the patient was managed by a conservative treatment of medications, and he was recovered well and discharged. During the 1-year follow-up, no adverse cardiovascular events were reported. Conclusion BWG in the elderly is rare, which is easily to be misdiagnosed or missed diagnosed. The diagnosis of BWG depends on multiple imaging examinations. For asymptomatic or mildly symptomatic elderly patients, the risks of surgery may outweigh the potential benefits, and conservative treatment with vasodilators and antiarrhythmic drugs may be used to prevent death.

Key words: abnormal left coronary artery, pulmonary artery, elderly

CLC Number:

R541.1

Liu Duo, Li Yanling, Guo Zhaoxia, Li Jianfeng, Zhang Huijuan, Xie Ping. Anomalous left coronary artery from the pulmonary artery: A case report and literature review[J]. Clinical Focus, 2023, 38(7): 618-622.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2023.07.006

https://huicui.hebmu.edu.cn/EN/Y2023/V38/I7/618

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References 30

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