Naranjo UAM, Selman-Housein SE, Corrales AI, González GA, Ceruto OLA

Language: Spanish
References: 7
Page: 1-4
PDF size: 310.43 Kb.

ABSTRACT

The anomalous origin of the left coronary artery from the trunk of the pulmonary artery or Bland-White-Garland syndrome is a rare congenital anomaly. It is one of the most common causes of myocardial ischemia and infarction in children and if it is not treated, 90 % of patients die before reaching the age of one year. This is why we report the case of a 6-month-old infant with this diagnosis, who underwent surgical correction by elongating the left coronary artery with part of the wall of the pulmonary artery and the aorta; an effective surgical option when anatomical conditions prevent performing any of the usual techniques. The patient evolved favorably and the mitral regurgitation progressed from severe to mild-moderate, without direct treatment on the valve. The main cardiovascular complication was left ventricular dysfunction, which progressively improved.

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