Bland-White-Garland syndrome with early fatal evolution

Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Aniela Luminita Rugina, C. Iordache, Cristina Jitareanu and Doina Mihaila

ABSTRACT

The authors present the case of an 2 months old infant, who is hospitalized for clinical signs of congestive heart failure, with dilated cardiomyopathy on Doppler echocardiography and myocardial infarction on ECG. Despite the medical treatment the evolution was unfavorable, and pathological examination confirms the anomalous origin of the left coronary artery (LCA) from the pulmonary artery (PA), dilated left ventricular cardiomyopathy, secondary subendocardic fibroelastosis and necrosis.

Key words: anomalous origin of the left coronary artery, heart failure, dilated cardiomyopathy, myiocardial ischemia

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