Bland-White-Garland Syndrome

The Bland-White-Garland Syndrome is a congintal coronary anamaly in which the left main coronary artery arises from the pulmonary artery.

This feeds deoxygenated blood to the left ventricular myocardium causing heart failure early in infancy. Rarely this can present in adulthood as angina, heart failure or sudden cardiac death. Treatment is surgical reimplantation of the left main coronary artery to the aorta.