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Year : 2000  |  Volume : 1  |  Issue : 7  |  Page : 251-257

Anomalous left coronary artery from the pulmonary artery: Problems and trends in surgical treatment

Department of Cardiothoracic Surgery, University and General Hospital of Vienna, Austria

Correspondence Address:
Gregor Wollenek
Department of Cardiothoracic Surgery, University and General Hospital of Vienna, Währinger Gürtel 18-20 A-1090 Vienna
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Source of Support: None, Conflict of Interest: None

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Over the last decades, the Bland-White-Garland syndrome has been treated with various surgical approaches, ranging from simple ligation to anatomic revascularization, usually creating a two coronary artery system. In Vienna, between 1965 and 1999, 20 patients underwent an operation (ligation in 3, revascularization techniques in 17). Total mortality was 67 % in the group with ligation and 24 % following revascularization. Out of 14 survivors with a mean follow-up of 11 years, 12 have an excellent functional result; only one required reoperation with mitral valve repair and bypass grafting. The state of the art in surgical treatment is discussed, including mitral valve sequelae, presentation in adults and the option of transplantation. So far, in the literature the incidence of the syndrome seems to be underestimated. According to the Vienna experience, the Bland-White-Garland syndrome may be expected in one of every 25,000 live births.

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