Bland-White-Garland Syndrome

Bland-White-Garland Syndrome

Article
Digestive Health
Healthy Lungs
+5
Contributed byMaulik P. Purohit MD MPHMar 18, 2018

The topic Bland-White-Garland Syndrome you are seeking is a synonym, or alternative name, or is closely related to the medical condition Anomalous Left Coronary Artery from the Pulmonary Artery.

Quick Summary:

  • Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) is a rare birth defect affecting the blood vessels of the heart
  • Normally, 2 coronary arteries (right and left) present on the surface of the heart, carry oxygen-rich blood to the heart muscles from the aorta (which is the largest blood vessel that carries oxygen-rich blood from heart to the whole body). Adequate coronary artery circulation is required to supply blood to the heart muscles so that it can effectively pump blood
  • In ALCAPA, the left coronary artery arises from the pulmonary artery. Normally, pulmonary artery carries oxygen-poor blood from the right side of the heart to the lungs, to get it oxygenated
  • Due to this birth defect, the heart gets ‘lesser’ oxygenated blood, which results in weakening or death of the heart muscle cells, thus causing heart attack, heart failure, and eventually death
  • If this condition progresses beyond childhood, numerous connections (anastomoses) develop between the right coronary artery and the abnormally arising left coronary artery
  • When this occurs, the oxygenated blood from the right coronary empties into the left coronary artery, which in turn empties into the pulmonary artery going to the lungs. This ultimately results in even more decreased blood supply to the left side of the heart (coronary steal phenomenon) resulting in chest pain
  • Infants, who undergo corrective surgery for this defect, are expected to lead a normal life

Please find comprehensive information on Anomalous Left Coronary Artery from the Pulmonary Artery regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE.

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Maulik P. Purohit MD MPH

Assistant Medical Director, Medical Editorial Board, DoveMed Team

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