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01.03.2015 | case report | Ausgabe 5-6/2015

Wiener klinische Wochenschrift 5-6/2015

Unusual late clinical manifestation of Bland–White–Garland syndrome as sudden cardiac death survival

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 5-6/2015
Autoren:
MD Fabian Plank, MD Gudrun Feuchtner, MD Orest Chevtchik, MD Johannes Mair
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi: 10.​1007/​s00508-014-0666-6) contains supplementary material, which is available to authorized users.

Summary

In this report, we present an extremely late clinical manifestation of Bland–White–Garland syndrome in a 53-year old woman who was ttransferred to our hospital after successful cardiopulmonary resuscitation. Coronary angiography revealed a dilated right coronary artery giving rise to multiple dominant septal collaterals to the left coronary artery (LCA) which arose from the pulmonary trunk (left to right shunt 0.15). Cardiac computed tomography identified a retropulmonary course of the LCA. The patient underwent cardiac surgery with LCA occlusion and triple coronary bypass grafting.

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