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Ann Thorac Surg 2004;78:1451-1453
© 2004 The Society of Thoracic Surgeons


Case report

Bland-White-Garland Syndrome in a 39-Year-Old Mother

Micha Maeder, MDa,b,*, Paul R. Vogt, MD, FETCSc, Peter Ammann, MDa, Hans Rickli, MDa

a Division of Cardiology, Hospital of St. Gallen, St. Gallen, Switzerland,
b Department of Medicine, Hospital of St. Gallen, St. Gallen, Switzerland,
c Division of Surgery, University Hospital of Zürich, Zürich, Switzerland

Accepted for publication July 8, 2003.

* Address reprint requests to Dr Maeder, Division of Cardiology, Department of Medicine, Hospital of St. Gallen, Rorschacherstrasse, CH-9007 St. Gallen, Switzerland
micha.maeder{at}kssg.ch

We report the case of a 39-year-old mother of 3 children presenting with exertion fatigue. Coronary angiography revealed an anomalous left coronary artery arising from the pulmonary artery. The patient underwent an operation with the direct implantation of the left coronary artery into the ascending aorta. This less symptomatic course stands in contrast to the high risk for sudden death in untreated adults.







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