Anomalous left coronary artery from the pulmonary artery

From Food & Medicine Encyclopedia

Anomalous left coronary artery from the pulmonary artery
Synonyms Bland-White-Garland syndrome
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Anomalous left coronary artery from the pulmonary artery (ALCAPA or Bland-White-Garland syndrome or White-Garland syndrome) is a rare congenital anomaly in which the left coronary artery (LCA) branches off the pulmonary artery instead of the aortic sinus.<ref>

Anomalous left coronary artery from the pulmonary artery(link). {{{website}}}. A.D.A.M. Medical Encyclopedia.



</ref> After birth, the pressure in other coronary arteries (namely the RCA) will have a pressure that exceeds the LCA and collateral circulation will increase. This, ultimately, can lead to blood flowing from the RCA into the LCA (retrograde) and into the pulmonary artery, thus forming a left-to-right shunt. <ref>,

 Cardiology. online version, 
 3rd edition, 
 Mosby, 
  
  
  
 ISBN 978-0723434856,</ref>

The syndrome is named for Edward Franklin Bland, Paul Dudley White, and Joseph Garland.

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