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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (6): 889-892    DOI: 10.12891/ceog3032.2016
Case Report Previous articles | Next articles
A case of a 42-year-old patient with anomalous origin of the left main coronary artery from the pulmonary artery who delivered three times with no complications: presentation, diagnosis, and review
M. S. Arnaout1, *(), M. Serhan1, C. Saade2
1Department of Internal medicine, American University of Beirut Medical Center, Beirut
2Accreditation and Technical Officer, Diagnostic Radiology Department, American University of Beirut Medical Center, Beirut (Lebanon)
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Abstract  
An anomalous origin of the left coronary artery (LCA) from the pulmonary artery or Bland-White-Garland (BWG) syndrome is a rare congenital cardiac anomaly, which is unusual to survive to adulthood if left uncorrected. The authors report an unusual case of a multiparity patient who delivered several times without any complications presenting at the age of 42 years with recurrent dyspnea on exertion in which echocardiographic findings of diastolic flow near the origin of the pulmonary valve were suggestive of anomalous origin of the LCA. A CT angiography confirmed that the left main coronary artery arises from the undersurface of the pulmonary flow close to its origin and gives rise to a left anterior descending (LAD) and left circumflex arteries.
Key words:  Congenital heart disease      Uncomplicated pregnancy      Coronary anomalies      Echocardiography      Computed tomography angiography     
Published:  10 December 2016     
*Corresponding Author(s):  M. S. ARNAOUT     E-mail:  sarnaout@aub.edu.lb

Cite this article: 

M. S. Arnaout, M. Serhan, C. Saade. A case of a 42-year-old patient with anomalous origin of the left main coronary artery from the pulmonary artery who delivered three times with no complications: presentation, diagnosis, and review. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(6): 889-892.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3032.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I6/889

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