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Bland-White-Garland syndrome – a rare and serious cause of failure to thrive
Patient: Male, 0 Final Diagnosis: Bland-White-Garland syndrome Symptoms: Cardiomegaly, feeding problems Medication: — Clinical Procedure: Reimplantation of the left coronary artery to the aorta Specialty: Pediatrics and Neonatology OBJECTIVE: Rare disease BACKGROUND: Bland-White-Garland syndrome (BW...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783481/ https://www.ncbi.nlm.nih.gov/pubmed/24086793 http://dx.doi.org/10.12659/AJCR.889112 |
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author | Szmigielska, Agnieszka Roszkowska-Blaim, Maria Gołąbek-Dylewska, Małgorzata Tomik, Agnieszka Brzewski, Michał Werner, Bożena |
author_facet | Szmigielska, Agnieszka Roszkowska-Blaim, Maria Gołąbek-Dylewska, Małgorzata Tomik, Agnieszka Brzewski, Michał Werner, Bożena |
author_sort | Szmigielska, Agnieszka |
collection | PubMed |
description | Patient: Male, 0 Final Diagnosis: Bland-White-Garland syndrome Symptoms: Cardiomegaly, feeding problems Medication: — Clinical Procedure: Reimplantation of the left coronary artery to the aorta Specialty: Pediatrics and Neonatology OBJECTIVE: Rare disease BACKGROUND: Bland-White-Garland syndrome (BWGS) is a very rare disease characterized by anomalous origin of the left coronary artery from the pulmonary trunk (ALCAPA). WBGS affects 1 in every 300 000 live births. Children typically present with dyspnea, pallor, and failure to thrive. Without surgical repair, most of these children die during the first months of life. CASE REPORT: This case report describes 3-month-old boy admitted to the hospital because of feeding problems. The boy was born at term, with birth weight 3200 g, and was 10 points in Apgar score. He was breast-fed from birth. From the seventh week of age, his mother observed his increasing difficulties with feeding. Physical examination revealed pale skin, diminished heart sounds, tachycardia, cardiomegaly, and hepatomegaly. Results of urine and blood tests and ultrasonography of the central nervous system and abdomen were normal. The chest radiography showed cardiomegaly and electrocardiogram revealed anterolateral myocardial infarction. On echocardiography, an anomalous left coronary artery arising from the pulmonary artery was found. The life-saving treatment of choice was immediate surgical reimplantation of the left coronary artery to the aorta. CONCLUSIONS: Children with congenital heart disease are often prone to malnutrition, but in rare cases failure to thrive and breast-feeding problems can be the first symptoms of life-threatening diseases like myocardial infarction secondary to Bland-White-Garland syndrome (BWGS). |
format | Online Article Text |
id | pubmed-3783481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-37834812013-10-01 Bland-White-Garland syndrome – a rare and serious cause of failure to thrive Szmigielska, Agnieszka Roszkowska-Blaim, Maria Gołąbek-Dylewska, Małgorzata Tomik, Agnieszka Brzewski, Michał Werner, Bożena Am J Case Rep Articles Patient: Male, 0 Final Diagnosis: Bland-White-Garland syndrome Symptoms: Cardiomegaly, feeding problems Medication: — Clinical Procedure: Reimplantation of the left coronary artery to the aorta Specialty: Pediatrics and Neonatology OBJECTIVE: Rare disease BACKGROUND: Bland-White-Garland syndrome (BWGS) is a very rare disease characterized by anomalous origin of the left coronary artery from the pulmonary trunk (ALCAPA). WBGS affects 1 in every 300 000 live births. Children typically present with dyspnea, pallor, and failure to thrive. Without surgical repair, most of these children die during the first months of life. CASE REPORT: This case report describes 3-month-old boy admitted to the hospital because of feeding problems. The boy was born at term, with birth weight 3200 g, and was 10 points in Apgar score. He was breast-fed from birth. From the seventh week of age, his mother observed his increasing difficulties with feeding. Physical examination revealed pale skin, diminished heart sounds, tachycardia, cardiomegaly, and hepatomegaly. Results of urine and blood tests and ultrasonography of the central nervous system and abdomen were normal. The chest radiography showed cardiomegaly and electrocardiogram revealed anterolateral myocardial infarction. On echocardiography, an anomalous left coronary artery arising from the pulmonary artery was found. The life-saving treatment of choice was immediate surgical reimplantation of the left coronary artery to the aorta. CONCLUSIONS: Children with congenital heart disease are often prone to malnutrition, but in rare cases failure to thrive and breast-feeding problems can be the first symptoms of life-threatening diseases like myocardial infarction secondary to Bland-White-Garland syndrome (BWGS). International Scientific Literature, Inc. 2013-09-16 /pmc/articles/PMC3783481/ /pubmed/24086793 http://dx.doi.org/10.12659/AJCR.889112 Text en © Am J Case Rep, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Szmigielska, Agnieszka Roszkowska-Blaim, Maria Gołąbek-Dylewska, Małgorzata Tomik, Agnieszka Brzewski, Michał Werner, Bożena Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title | Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title_full | Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title_fullStr | Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title_full_unstemmed | Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title_short | Bland-White-Garland syndrome – a rare and serious cause of failure to thrive |
title_sort | bland-white-garland syndrome – a rare and serious cause of failure to thrive |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783481/ https://www.ncbi.nlm.nih.gov/pubmed/24086793 http://dx.doi.org/10.12659/AJCR.889112 |
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