"Anomalous left coronary artery from the pulmonary artery (ALCAPA, Bland-White-Garland syndrome or White-Garland syndrome) is a rare congenital anomaly occurring in approximately 1 in 300,000 liveborn children. The diagnosis comprises between 0.24 and 0.46% of all cases of congenital heart disease. The anomalous left coronary artery (LCA) usually arises from the pulmonary artery instead of the aortic sinus. In fetal life, the high pressure in the pulmonic artery and the fetal shunts enable oxygen-rich blood to flow in the LCA. By the time of birth, the pressure will decrease in the pulmonic artery and the child will have a postnatal circulation. The myocardium which is supplied by the LCA, will therefore be dependent on collateral blood flow from the other coronary arteries, mainly the RCA."@en . "El origen an\u00F3malo de la coronaria izquierda en la arteria pulmonar, tambi\u00E9n conocida como ALCAPA , por sus siglas en ingl\u00E9s (Anomalous Left Coronary Artery from the Pulmonary Artery) o s\u00EDndrome de Bland-White-Garland en honor de los m\u00E9dicos , y , es un defecto card\u00EDaco por el cual la arteria coronaria izquierda surge de la arteria pulmonar, en lugar de ser una rama de la arteria aorta que es lo normal. Es una enfermedad cong\u00E9nita, ya que se encuentra presente desde el momento del nacimiento.\u200B Provoca isquemia, disminuci\u00F3n de la irrigaci\u00F3n sangu\u00EDnea del coraz\u00F3n, con disfunci\u00F3n del ventr\u00EDculo izquierdo e insuficiencia mitral, es decir cierre inadecuado de la v\u00E1lvula mitral que provoca reflujo de la sangre.\u200B"@es . "Possible communication between left coronary artery and pulmonary artery in a 45-year-old woman with Bland-White-Garland syndrome."@en . . "Zesp\u00F3\u0142 Blanda-White\u2019a-Garlanda (ang. Bland-White-Garland syndrome, BWGS, anomalous origin of the left coronary artery from the pulmonary artery, ALCAPA syndrome) \u2013 rzadkie zaburzenie rozwojowe polegaj\u0105ce na nieprawid\u0142owym odej\u015Bciu lewej t\u0119tnicy wie\u0144cowej od t\u0119tnicy p\u0142ucnej. Zesp\u00F3\u0142 Blanda-White\u2019a-Garlanda wyst\u0119puje z cz\u0119sto\u015Bci\u0105 1:300 000 \u017Cywych urodze\u0144. Obarczony jest powa\u017Cnym rokowaniem: wi\u0119kszo\u015B\u0107 pacjent\u00F3w umiera we wczesnym dzieci\u0144stwie, je\u015Bli wada nie zostanie na czas wykryta i operowana. Wada mo\u017Ce powodowa\u0107 niedokrwienie mi\u0119\u015Bnia sercowego, upo\u015Bledzenie funkcji lewej komory, regurgitacj\u0119 przez zastawk\u0119 mitraln\u0105 i post\u0119puj\u0105c\u0105 niewydolno\u015B\u0107 kr\u0105\u017Cenia; przebieg zale\u017Cy przede wszystkim od mo\u017Cliwo\u015Bci wytworzenia kr\u0105\u017Cenia obocznego."@pl . "\u0421\u0438\u043D\u0434\u0440\u043E\u0301\u043C \u0411\u043B\u0430\u0301\u043D\u0434\u0430 \u2014 \u0423\u0430\u0301\u0439\u0442\u0430 \u2014 \u0413\u0430\u0301\u0440\u043B\u0430\u043D\u0434\u0430 (\u0430\u043D\u0433\u043B. Bland-White-Garland syndrome; Anomalous left coronary artery from the pulmonary artery (ALCAPA) \u2014 \u0432\u0440\u043E\u0434\u0436\u0435\u043D\u0430 \u043F\u0430\u0442\u043E\u043B\u043E\u0433\u0456\u044F, \u0449\u043E \u0445\u0430\u0440\u0430\u043A\u0442\u0435\u0440\u0438\u0437\u0443\u0454\u0442\u044C\u0441\u044F \u0430\u043D\u043E\u043C\u0430\u043B\u044C\u043D\u0438\u043C \u0432\u0456\u0434\u0433\u0430\u043B\u0443\u0436\u0435\u043D\u043D\u044F\u043C \u043B\u0456\u0432\u043E\u0457 \u0432\u0456\u043D\u0446\u0435\u0432\u043E\u0457 \u0430\u0440\u0442\u0435\u0440\u0456\u0457 \u0432\u0456\u0434 \u043B\u0435\u0433\u0435\u043D\u0435\u0432\u043E\u0457 \u0430\u0440\u0442\u0435\u0440\u0456\u0457(\u0430\u043D\u0433\u043B. Malformation of coronary vessels)."@uk . . . . "Anomalous left coronary artery from the pulmonary artery"@en . . "Origen an\u00F3malo de la coronaria izquierda en la arteria pulmonar"@es . . . . . . . . . "\u0421\u0438\u043D\u0434\u0440\u043E\u0301\u043C \u0411\u043B\u0430\u0301\u043D\u0434\u0430 \u2014 \u0423\u0430\u0301\u0439\u0442\u0430 \u2014 \u0413\u0430\u0301\u0440\u043B\u0430\u043D\u0434\u0430 (\u0430\u043D\u0433\u043B. Bland-White-Garland syndrome; Anomalous left coronary artery from the pulmonary artery (ALCAPA) \u2014 \u0432\u0440\u043E\u0434\u0436\u0435\u043D\u0430 \u043F\u0430\u0442\u043E\u043B\u043E\u0433\u0456\u044F, \u0449\u043E \u0445\u0430\u0440\u0430\u043A\u0442\u0435\u0440\u0438\u0437\u0443\u0454\u0442\u044C\u0441\u044F \u0430\u043D\u043E\u043C\u0430\u043B\u044C\u043D\u0438\u043C \u0432\u0456\u0434\u0433\u0430\u043B\u0443\u0436\u0435\u043D\u043D\u044F\u043C \u043B\u0456\u0432\u043E\u0457 \u0432\u0456\u043D\u0446\u0435\u0432\u043E\u0457 \u0430\u0440\u0442\u0435\u0440\u0456\u0457 \u0432\u0456\u0434 \u043B\u0435\u0433\u0435\u043D\u0435\u0432\u043E\u0457 \u0430\u0440\u0442\u0435\u0440\u0456\u0457(\u0430\u043D\u0433\u043B. Malformation of coronary vessels)."@uk . "Syndrome de Bland-White-Garland"@fr . . . . . . . "\u30D6\u30E9\u30F3\u30C9\u30FB\u30DB\u30EF\u30A4\u30C8\u30FB\u30AC\u30FC\u30E9\u30F3\u30C9\u75C7\u5019\u7FA4\uFF08\u30D6\u30E9\u30F3\u30C9\u30FB\u30DB\u30EF\u30A4\u30C8\u30FB\u30AC\u30FC\u30E9\u30F3\u30C9\u3057\u3087\u3046\u3053\u3046\u3050\u3093\u3001\u82F1: Anomalous left coronary artery from the pulmonary artery\uFF09\u3068\u306F\u3001\u5DE6\u51A0\u52D5\u8108\u304C\u80BA\u52D5\u8108\u3088\u308A\u8D77\u59CB\u3059\u308B\u75C5\u614B\u3067\u3042\u308B\u3002"@ja . . . "\u30D6\u30E9\u30F3\u30C9\u30FB\u30DB\u30EF\u30A4\u30C8\u30FB\u30AC\u30FC\u30E9\u30F3\u30C9\u75C7\u5019\u7FA4\uFF08\u30D6\u30E9\u30F3\u30C9\u30FB\u30DB\u30EF\u30A4\u30C8\u30FB\u30AC\u30FC\u30E9\u30F3\u30C9\u3057\u3087\u3046\u3053\u3046\u3050\u3093\u3001\u82F1: Anomalous left coronary artery from the pulmonary artery\uFF09\u3068\u306F\u3001\u5DE6\u51A0\u52D5\u8108\u304C\u80BA\u52D5\u8108\u3088\u308A\u8D77\u59CB\u3059\u308B\u75C5\u614B\u3067\u3042\u308B\u3002"@ja . . . "Zesp\u00F3\u0142 Blanda-White\u2019a-Garlanda"@pl . . "21219403"^^ . "\u0421\u0438\u043D\u0434\u0440\u043E\u043C \u0411\u043B\u0430\u043D\u0434\u0430 \u2014 \u0423\u0430\u0439\u0442\u0430 \u2014 \u0413\u0430\u0440\u043B\u0430\u043D\u0434\u0430"@uk . . "L'origine anomala della arteria coronaria sinistra dall'arteria polmonare, nota anche come sindrome di Bland-White-Garland, \u00E8 una rara anomalia congenita in cui l'arteria coronaria sinistra ha origine dall'arteria polmonare invece che dalla aorta ascendente. La prima descrizione clinica, avvenuta nel 1933, si deve a , e ."@it . "El origen an\u00F3malo de la coronaria izquierda en la arteria pulmonar, tambi\u00E9n conocida como ALCAPA , por sus siglas en ingl\u00E9s (Anomalous Left Coronary Artery from the Pulmonary Artery) o s\u00EDndrome de Bland-White-Garland en honor de los m\u00E9dicos , y , es un defecto card\u00EDaco por el cual la arteria coronaria izquierda surge de la arteria pulmonar, en lugar de ser una rama de la arteria aorta que es lo normal. Es una enfermedad cong\u00E9nita, ya que se encuentra presente desde el momento del nacimiento.\u200B"@es . . . . . "7323"^^ . . . . "1121184755"^^ . . . . "ALCAPA est un acronyme anglais signifiant abnormal left cororary artery from pulmonary artery, aussi nomm\u00E9 Syndrome Bland-White-Garland, qui d\u00E9signe une pathologie malformative cardiaque du nourrisson en rapport avec une naissance anormale de la coronaire gauche : celle-ci au lieu de na\u00EEtre du sinus aortique gauche na\u00EEt de l'art\u00E8re pulmonaire. Le syndrome porte le nom des cardiologues am\u00E9ricains Edward Franklin Bland (1901\u20131992), Paul Dudley White (1893\u20131973) et Joseph Garland (1886\u20131973)."@fr . . . "Zesp\u00F3\u0142 Blanda-White\u2019a-Garlanda (ang. Bland-White-Garland syndrome, BWGS, anomalous origin of the left coronary artery from the pulmonary artery, ALCAPA syndrome) \u2013 rzadkie zaburzenie rozwojowe polegaj\u0105ce na nieprawid\u0142owym odej\u015Bciu lewej t\u0119tnicy wie\u0144cowej od t\u0119tnicy p\u0142ucnej. Zesp\u00F3\u0142 Blanda-White\u2019a-Garlanda wyst\u0119puje z cz\u0119sto\u015Bci\u0105 1:300 000 \u017Cywych urodze\u0144. Obarczony jest powa\u017Cnym rokowaniem: wi\u0119kszo\u015B\u0107 pacjent\u00F3w umiera we wczesnym dzieci\u0144stwie, je\u015Bli wada nie zostanie na czas wykryta i operowana. Wada mo\u017Ce powodowa\u0107 niedokrwienie mi\u0119\u015Bnia sercowego, upo\u015Bledzenie funkcji lewej komory, regurgitacj\u0119 przez zastawk\u0119 mitraln\u0105 i post\u0119puj\u0105c\u0105 niewydolno\u015B\u0107 kr\u0105\u017Cenia; przebieg zale\u017Cy przede wszystkim od mo\u017Cliwo\u015Bci wytworzenia kr\u0105\u017Cenia obocznego. Zesp\u00F3\u0142 opisali jako pierwsi , Paul Dudley White i ."@pl . "Das Bland-White-Garland-Syndrom (in der internationalen Fachsprache auch Anomalous Left Coronary Artery From the Pulmonary Artery, ALCAPA) bezeichnet einen angeborenen Fehlabgang der linken Koronararterie (Hauptstamm) aus der Lungenarterie, dessen H\u00E4ufigkeit bei 0,25 bis 0,5 % aller angeborenen Herzfehler liegt. Menschen mit dieser Fehlbildung entwickeln h\u00E4ufig schon in jungen Jahren eine Myokardisch\u00E4mie und Herzmuskelschw\u00E4che. Die Str\u00F6mungsrichtung des Blutes erfolgt aufgrund der Druckverh\u00E4ltnisse von der rechten Koronararterie \u00FCber Kollateralen in die linke Koronararterie und \u00FCber diese in die Pulmonalarterie. Je nach Auspr\u00E4gung der Kollateralen unterscheidet man einen Infantilen Typ und einen Erwachsenentyp. Die einzige kurative Therapie ist die chirurgische Korrektur. Das Syndrom ist nach den US-amerikanischen Kardiologen Edward Franklin Bland (1901\u20131992), Joseph Garland (1893\u20131973) und Paul Dudley White (1886\u20131973) benannt."@de . . . "007323" . . "Anomalous left coronary artery from the pulmonary artery"@en . . "\u30D6\u30E9\u30F3\u30C9\u30FB\u30DB\u30EF\u30A4\u30C8\u30FB\u30AC\u30FC\u30E9\u30F3\u30C9\u75C7\u5019\u7FA4"@ja . . "Anomalous left coronary artery from the pulmonary artery (ALCAPA, Bland-White-Garland syndrome or White-Garland syndrome) is a rare congenital anomaly occurring in approximately 1 in 300,000 liveborn children. The diagnosis comprises between 0.24 and 0.46% of all cases of congenital heart disease. The anomalous left coronary artery (LCA) usually arises from the pulmonary artery instead of the aortic sinus. In fetal life, the high pressure in the pulmonic artery and the fetal shunts enable oxygen-rich blood to flow in the LCA. By the time of birth, the pressure will decrease in the pulmonic artery and the child will have a postnatal circulation. The myocardium which is supplied by the LCA, will therefore be dependent on collateral blood flow from the other coronary arteries, mainly the RCA. Because the pressure in RCA exceeds the pressure in LCA a collateral circulation will increase. This situation ultimately can lead to blood flowing from the RCA into the LCA retrograde and into the pulmonary artery, thus forming a left-to-right shunt."@en . . "ALCAPA est un acronyme anglais signifiant abnormal left cororary artery from pulmonary artery, aussi nomm\u00E9 Syndrome Bland-White-Garland, qui d\u00E9signe une pathologie malformative cardiaque du nourrisson en rapport avec une naissance anormale de la coronaire gauche : celle-ci au lieu de na\u00EEtre du sinus aortique gauche na\u00EEt de l'art\u00E8re pulmonaire. Le syndrome porte le nom des cardiologues am\u00E9ricains Edward Franklin Bland (1901\u20131992), Paul Dudley White (1893\u20131973) et Joseph Garland (1886\u20131973)."@fr . . . "Das Bland-White-Garland-Syndrom (in der internationalen Fachsprache auch Anomalous Left Coronary Artery From the Pulmonary Artery, ALCAPA) bezeichnet einen angeborenen Fehlabgang der linken Koronararterie (Hauptstamm) aus der Lungenarterie, dessen H\u00E4ufigkeit bei 0,25 bis 0,5 % aller angeborenen Herzfehler liegt. Menschen mit dieser Fehlbildung entwickeln h\u00E4ufig schon in jungen Jahren eine Myokardisch\u00E4mie und Herzmuskelschw\u00E4che. Die Str\u00F6mungsrichtung des Blutes erfolgt aufgrund der Druckverh\u00E4ltnisse von der rechten Koronararterie \u00FCber Kollateralen in die linke Koronararterie und \u00FCber diese in die Pulmonalarterie. Je nach Auspr\u00E4gung der Kollateralen unterscheidet man einen Infantilen Typ und einen Erwachsenentyp. Die einzige kurative Therapie ist die chirurgische Korrektur."@de . . "8360"^^ . . "Anomalous left coronary artery from the pulmonary artery"@en . "Origine anomala della arteria coronaria sinistra dall'arteria polmonare"@it . "Bland-White-Garland-Syndrom"@de . "L'origine anomala della arteria coronaria sinistra dall'arteria polmonare, nota anche come sindrome di Bland-White-Garland, \u00E8 una rara anomalia congenita in cui l'arteria coronaria sinistra ha origine dall'arteria polmonare invece che dalla aorta ascendente. La prima descrizione clinica, avvenuta nel 1933, si deve a , e ."@it . "Bland-White-Garland syndrome"@en .