Magnetic Resonance Imaging of Bland-White-Garland Syndrome - A Case of Anomalous Origin of the Left Coronary Artery From the Pulmonary Trunk in a 22-Year-Old Women -

  • TAKENAGA Makoto
    Department of Cardiovascular Medicine, Miyazaki Cardiovascular Hospital, Miyazaki
  • MATSUDA Junko
    Department of Cardiovascular Medicine, Miyazaki Cardiovascular Hospital, Miyazaki
  • MIYAMOTO Nobuhide
    Department of Cardiovascular Medicine, Miyazaki Cardiovascular Hospital, Miyazaki
  • IKUSHIMA Ippei
    Department of Cardiovascular Medicine, Miyazaki Cardiovascular Hospital, Miyazaki
  • KOIWAYA Yasushi
    First Depaartment of Internal Medicine, Miyazaki Medical College

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説明

Selective right coronary angiography in a 22-year-old woman demonstrated an enormous right coronary artery, with the contrast medium opacifying to the left coronary artery through a well-developed collateral circulation and draining into the pulmonary artery. The diagnosis of anomalous origin of the left coronary artery from the pulmonary trunk [also known as Bland-White-Garland (BWG) syndrome] was thus established. Magnetic resonance imaging (MRI) showed a dilated right coronary artery arising from the aorta, the left coronary artery from the pulmonary trunk but not from the aorta, and well-developed channels in the interventricular septum. MRI could be a useful tool fordiagnosing anomalous origin of the left coronary artery from the pulmonary trunk.

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