medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-329Research ArticleСЕРДЦЕ И СОСУДЫHEART AND VESSELSАномальное отхождение левой коронарной артерии от ствола легочной артерии: оценка роли КТ-ангиографии сердца (клиническое наблюдение)Coronary Computed Tomographic Angiography Valuation Role in Anomalous Left Coronary Artery From the Pulmonary Artery (Clinical Observation)ДжураеваН. М.DjuraevaN. M.

канд. мед. наук, заведующая отделением магнитно-резонансной и компьютерной томографии,

г. Ташкент 100115, ул. Кичик Халка Йули, 10

cand. of med. sci., head of magnetic resonance and computer tomography department,

Tashkent 100115, Kichik halka street, 10

nika.kt@rambler.ruИкрамовА. И.IkramovA. I.

доктор мед. наук, профессор, заведующий кафедрой клинической радиологии Ташкентского института усовершенствования врачей Минздрава Республики Узбекистан,

Ташкент

professor, head of medical radiology department of Tashkent Institute of Postgraduate Medical Education,

Tashkent

ЗулинаТ. А.ZulinaT. A.

врач-рентгенолог отделения магнитно-резонансной и компьютерной томографии,

Ташкент

radiologist of magnetic resonance and computer tomography department,

Tashkent

ПирназаровМ. М.PirnazarovM. M.

врач–рентгенолог отделения магнитно-резонансной и компьютерной томографии,

Ташкент

radiologist of magnetic resonance and computer tomography department,

Tashkent

МаксудовМ. Ф.MaksudovM. F.

канд. мед. наук, заведующий отделением “Лучевая диагностика” СП ООО “Федорович Клиникаси”,

Ташкент

cand. of med. sci., head of radiology department of Fedorovich Klinikasi,

Tashkent

АО “Республиканский специализированный центр хирургии им. акад. В. Вахидова”РоссияAcademician V. Vakhidov Republican specialized centerRussian Federation201628102016053642Copyright © Джураева Н.М., Икрамов А.И., Зулина Т.А., Пирназаров М.М., Максудов М.Ф., 20162016Джураева Н.М., Икрамов А.И., Зулина Т.А., Пирназаров М.М., Максудов М.Ф.Djuraeva N.M., Ikramov A.I., Zulina T.A., Pirnazarov M.M., Maksudov M.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/329

Аномальное отхождение левой коронарной артерии от легочной артерии (АОЛКА, или синдром Bland–White– Garland) – врожденная патология сердца, при которой ствол левой коронарной артерии (ЛКА) берет начало от системы легочной артерии (ЛА). Клинические признаки порока были изучены и описаны в 1933 г. американскими кардиологами E. Bland, P. White, J. Garland, в честь которых данная аномалия получила название “синдром Бланда–Уайта–Гарланда” (СБУГ). При этом частота отхождения ЛКА от ЛА составляет 0,025–0,05 на 1000 новорожденных, 0,22% среди всех врожденных пороков сердца (ВПС) и 0,4–0,7% среди критических ВПС. Приведено клиническое наблюдение пациентки, у которой СБУГ был впервые выявлен в возрасте 12 лет. Данный пример демонстрирует, что при подозрении на наличие ВПС, для наиболее ранней и точной диагностики, определения вида ВПС необходимо проводить КТ-ангиографию сердца.

Anomalous origin of the left coronary artery (LCA) arising from the pulmonary artery (ALCAPA or a Bland-WhiteGarland Syndrome) is a congenital heart pathology where the left main trunk (LM) originates from the pulmonary artery system (PA). Clinical signs of the defect were studied and described in 1933 by Cardiologists E. Bland, P. White, J. Garland; this anomaly took its name as “syndrome of Bland–White–Garland” (BWGS) from them. Frequency of LCA origin from LM is 0.025–0.05 per 1,000 newborns, 0.22% of all congenital heart defects (CHD) and 0.4–0.7% of critical CHD. Clinical supervision of a patient with BWGS first identified at age of 12 years, is exemplified. This example demonstrates that if CHD is suspected CT angiography of heart shall be made for the earliest and accurate diagnosis and determination of CHD type.

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The authors declare that there are no conflicts of interest present.