Anomalous origin of the left coronary artery arising from the pulmonary artery (Bland-White-Garland syndrome also known as ALCAPA syndrome), is a rare congenital abnormality affecting 1 in 300.000 live births, accounting for 0,5% of cases of congenital heart disease [1]. Patients with Bland-White-Garland (BWG) syndrome who survive past childhood often have varying symptoms of myocardial ischaem...

Abstract A 7-year-old (y.o.) boy was referred to our center for a specialist evaluation due alteration of the ventricular repolarization in anterior and lateral lead on electrocardiogram at medical physical activity. The child totally asymptomatic, with normal growth unremarkable past history. examination revealed only S4 minimal apical systolic murmur. Transthoracic echocardiogram demonstrated...

SUM MARY The most common cause of dilated cardiomyopathy (CMP) is viral myocarditis. However, anomalous origin of the left coronary artery is a rare condition that should be evaluated with high suspicion in the differential diagnosis of an infant with dilated CMP. With early surgical correction, an anomalous coronary artery origin has a good prognosis. Awareness of this condition is essential f...

We present the case of a 56-year-old woman suffering from shortness of breath on exertion (NYHA class II) worsening for the last couple of years. Blood pressure on admission was 140/71 mm Hg and heart rate (HR) was 72 bpm. Further physical examination and routine laboratory tests were irrelevant. The electrocardiogram showed normal sinus rhythm (SR) with HR 62 bpm, intraventricular conduction d...

Department of Cardiology, Saveetha Medical College and Hospital, Kancheepuram, India, in December 2012, with a history of exertional chest pain relieved by rest for the past three months. Electrocardiogram showed ST/T wave changes in leads I, V6 and AVL suggesting lateral ischaemia. No significant past medical or surgical history was present. Transthoracic echocardiography showed mildly decreas...