A Rare Case Report on Incidental Finding of the Bland-White- Garland Syndrome in Infant Presenting With Congenital Coronary Artery Defect

Sumitra Rangari, J. Gawai, Trupti Uke
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Abstract

We have a report on an uncommon congenital coronary artery anomaly A congenital heart condition called aberrant the pulmonary artery serves as the left coronary artery's point of origin (ALCAPA) causes this. 90% of infant deaths are brought on as a result of the first year of life is when myocardial infarction and congestive heart failure occur, The newborn type of ALCAPA syndrome and the adult type are two distinct manifestations of the condition. The adult type may be a significant factor in sudden cardiac death. Rare congenital coronary anomaly ALCAPA has a high fatality rate; another name for ALCAPA is Bland-White-Garland Syndrome. A 3-month-old female baby presented to our outpatient department with a complaint of wheeze sound, cold, purple skin colour are appeared due to crying called cyanosis, disturbed suck rest suck cycle and forehead sweating called hyperhidrosis on time of feeds. This case report highlights the ALCAPA; she was treated as a case of (ALCAPA) repair and got intermittent relief in the suck cycle, a rare congenital cardiac abnormality ALCAPA occurs at an incidence of 1 in every 300,000 live births. And the congenital heart defect comprising coronary arteries is 0.25%-0.5%.
婴儿先天性冠状动脉缺损偶发白花环综合征1例报告
我们有一个罕见的先天性冠状动脉异常的报告,一种称为异常的先天性心脏疾病,肺动脉作为左冠状动脉的起始点(ALCAPA)导致了这种情况。90%的婴儿死亡是由于出生后第一年发生心肌梗死和充血性心力衰竭引起的,新生儿型ALCAPA综合征和成人型ALCAPA综合征有两种不同的表现。成人型可能是心源性猝死的一个重要因素。罕见先天性冠状动脉异常ALCAPA病死率高;ALCAPA的另一个名字是白花环综合症。1例3个月大女婴,因哭闹出现喘鸣、寒颤、皮肤颜色发紫称为紫绀,吸吮休息受干扰,吸吮周期不规律,额头出汗称为多汗症。本案例报告强调了ALCAPA;她被视为一例(ALCAPA)修复并在吸吮周期中间歇性缓解,这是一种罕见的先天性心脏异常ALCAPA,发病率为每30万活产儿中有1例。包括冠状动脉的先天性心脏缺损占0.25%-0.5%。
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