Reoperation With Coronary Reimplantation After Takeuchi Repair of Bland-White-Garland Syndrome

Ann Thorac Surg. 2019 Dec;108(6):e381-e382. doi: 10.1016/j.athoracsur.2019.04.048. Epub 2019 Jun 5.

Abstract

We present a 1-year-old boy with Bland-White-Garland syndrome (anomalous origin of the left coronary artery from the pulmonary artery) who underwent coronary reimplantation. He had previously undergone a Takeuchi procedure at 7 months of age. He was hospitalized because the patency of the intrapulmonary tunnel to the left coronary could not be confirmed by routine computed tomography in an outpatient facility. The left coronary reimplantation was performed by extending the coronary artery with an autologous pulmonary artery wall. The postoperative course was uneventful. The patient's left ventricular function had improved to a normal state at the 12-month follow-up visit.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bland White Garland Syndrome / diagnostic imaging*
  • Bland White Garland Syndrome / surgery*
  • Cardiac Surgical Procedures / adverse effects*
  • Cardiac Surgical Procedures / methods
  • Cardiopulmonary Bypass / methods
  • Computed Tomography Angiography / methods
  • Coronary Angiography / methods*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / surgery
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Rare Diseases
  • Reoperation / methods
  • Replantation / methods
  • Risk Assessment
  • Time Factors
  • Transplantation, Autologous
  • Treatment Outcome
  • Vascular Surgical Procedures / adverse effects*
  • Vascular Surgical Procedures / methods