ハギワラ　ノブヒサ   Nobuhisa Hagiwara   萩原　誠久    所属   その他 その他    職種   非常勤嘱託
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),pp.41-43
著者・共著者	TOBITA Takashige†, ARASHI Hiroyuki, FUKUSHIMA Kenji*, HAGIWARA Nobuhisa
担当区分	最終著者
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