アラシ ヒロユキ   ARASHI Hiroyuki
  嵐 弘之
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 An adult case of Bland-White-Garland syndrome with collaterals from giant right coronary artery and bronchial artery.
掲載誌名 正式名:Journal of cardiology cases
略  称:J Cardiol Cases
ISSNコード:18785409
掲載区分国内
出版社 Elsevier
巻・号・頁 16(2),41-43頁
著者・共著者 TOBITA Takashige†, ARASHI Hiroyuki, FUKUSHIMA Kenji*, HAGIWARA Nobuhisa
発行年月 2017/08
概要 Bland-White-Garland syndrome (BWG) is a congenital heart disease characterized by anomalous origin of left coronary artery from main pulmonary artery. The anomaly causes significant myocardial ischemia, mitral insufficiency, and high infant mortality. Several investigators have reported that the subjects who survived to adulthood showed extensive collateral flow from right coronary artery (RCA). We report a case of newly diagnosed BWG in an elderly patient who had well-developed collaterals from aneurysmal giant RCA and bronchial artery, which were identified by coronary angiography with multi-detector computed tomography. <Learning objective: Structural heart disease is occasionally hard to assess with invasive angiography. In this case, multi-detector computed tomography demonstrated complicated structure of anomalous coronary morphology including collateral sources from extra-cardiac anastomoses. The severity of anomaly related myocardial ischemia was evaluated by image fusion with radionuclide myocardial perfusion. Multimodal imaging approach can provide comprehensive and incremental information.>.
DOI 10.1016/j.jccase.2017.04.006
PMID 30279793