Coronary Computed Tomographic Angiography Valuation Role in Anomalous Left Coronary Artery From the Pulmonary Artery (Clinical Observation)
Abstract
Anomalous origin of the left coronary artery (LCA) arising from the pulmonary artery (ALCAPA or a Bland-WhiteGarland Syndrome) is a congenital heart pathology where the left main trunk (LM) originates from the pulmonary artery system (PA). Clinical signs of the defect were studied and described in 1933 by Cardiologists E. Bland, P. White, J. Garland; this anomaly took its name as “syndrome of Bland–White–Garland” (BWGS) from them. Frequency of LCA origin from LM is 0.025–0.05 per 1,000 newborns, 0.22% of all congenital heart defects (CHD) and 0.4–0.7% of critical CHD. Clinical supervision of a patient with BWGS first identified at age of 12 years, is exemplified. This example demonstrates that if CHD is suspected CT angiography of heart shall be made for the earliest and accurate diagnosis and determination of CHD type.
About the Authors
N. M. Djuraeva
Academician V. Vakhidov Republican specialized center
Russian Federation
Russian Federation
cand. of med. sci., head of magnetic resonance and computer tomography department,
Tashkent 100115, Kichik halka street, 10
A. I. Ikramov
Academician V. Vakhidov Republican specialized center
Russian Federation
Russian Federation
professor, head of medical radiology department of Tashkent Institute of Postgraduate Medical Education,
Tashkent
T. A. Zulina
Academician V. Vakhidov Republican specialized center
Russian Federation
Russian Federation
radiologist of magnetic resonance and computer tomography department,
Tashkent
M. M. Pirnazarov
Academician V. Vakhidov Republican specialized center
Russian Federation
Russian Federation
radiologist of magnetic resonance and computer tomography department,
Tashkent
M. F. Maksudov
Academician V. Vakhidov Republican specialized center
Russian Federation
Russian Federation
cand. of med. sci., head of radiology department of Fedorovich Klinikasi,
Tashkent
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Review
For citations:
Djuraeva N.M., Ikramov A.I., Zulina T.A., Pirnazarov M.M., Maksudov M.F. Coronary Computed Tomographic Angiography Valuation Role in Anomalous Left Coronary Artery From the Pulmonary Artery (Clinical Observation). Medical Visualization. 2016;(5):36-42. (In Russ.)
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