Bland-White Garland syndrome with Takeuchi repair: case report and review of literature.

Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White Garland Syndrome) is extremely rare. With surgical reestablishment of two-coronary system on diagnosis yields excellent results with progressive nearly total myocardial recovery. A 30-year-old woman was admitted to hospital due to shortness of breath, ortopnea and increased abdominal girth nineteen years after Takeuchi repair of anomalous origin of left coronary artery from the pulmonary trunk. At initial evaluation we found worsening of preexistent mitral regurgitation requiring mitral valve replacement after exclude ongoing or recurrent myocardial insult. This work reviews the pathophysiology and natural history of anomalous origin of the left coronary artery from the pulmonary artery after Takeuchi repair.