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Альманах клинической медицины. 2015; : 136-141

ОСОБЕННОСТИ ВЕДЕНИЯ БЕРЕМЕННОСТИ И РОДОРАЗРЕШЕНИЯ ПАЦИЕНТОК, ПЕРЕНЕСШИХ КОРРИГИРУЮЩИЕ ОПЕРАЦИИ ПО ПОВОДУ СИНДРОМА БЛАНДА – УАЙТА – ГАРЛАНДА

Петрухин В. А., Мареева М. Ю., Шугинин И. О., Ефанов А. А., Степанова Е. А., Вишнякова М. В., Мравян С. Р.

https://doi.org/10.18786/2072-0505-2015-38-136-141

Аннотация

Описано клиническое наблюдение двух беременных, перенесших в анамнезе корригирующие операции по поводу синдрома Бланда – Уайта – Гарланда. Отдаленные результаты операции проявляются во время беременности аритмиями, подчас жизненно опасными, симптомами ишемии миокарда на фоне высокой вероятности тромбоза аортокоронарного шунта. В обоих наблюдениях отмечена угроза прерывания беременности и развитие фетоплацентарной недостаточности.

Список литературы

1. Bland EF, White PD, Garland J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J. 1933;8:787–801.

2. Бураковский ВА, Бокерия ЛА, Подзолков ВП. Врожденные пороки сердца. В: Бураковский ВА, Бокерия ЛА, ред. Сердечно-сосудистая хирургия. М.: Медицина; 1989. с. 345–82. Burakovskiy VA, Bokeriya LA, Podzolkov VP. Vrozhdennye poroki serdtsa [Congenital heart disease]. In: Burakovskiy VA, Bokeriya LA, editors. Serdechno-sosudistaya khirurgiya [Cardiovascular surgery]. Moscow: Meditsina; 1989. p. 345–82 (in Russian).

3. Алексеева ЮМ, Потиевская ВИ, Сакович ЕА, Ситников АВ, Союстова ЕЛ, Финько ВА, Ардашев АВ. Редкий случай синдрома Бланда – Уайта – Гарланда у взрослой пациентки. Кардиология. 2012;(11):86–91. Alekseeva YuM, Potievskaya VI, Sakovich EA, Sitnikov AV, Soyustova EL, Fin'ko VA, Ardashev AV. Redkiy sluchay sindroma Blanda – Uayta – Garlanda u vzrosloy patsientki [Rare case of Bland-White-Garland syndrome in adult patient]. Kardiologiya [J Cardiol]. 2012;(11):86–91 (in Russian).

4. Choong CK, Martinez C, Barner HB, Ludbrook PA. Bland-White-Garland syndrome in pregnancy: reoperation of ALCAPA with an internal thoracic radial artery “Y”-graft. Ann Thorac Surg. 2006;81(4):1512–4.

5. Nightingale AK, Burrell CJ, Marshall AJ. Anomalous origin of the left coronary artery from the pulmonary artery: natural history and normal pregnancies. Heart. 1998;80(6):629–31.

6. Wańczura P, Orłowski M, Stecko W, Weglarz M, Skoczyński K, Romanek J, Kukla P, Kuźniar J. Mitral regurgitation in course of Bland-White-Garland syndrome in female patient after four uncomplicated physiological labours. Pol Merkur Lekarski. 2011;31(182):103–5.

7. Lazar D, Enriquez LJ, Rozental T. Anomalous origin of the left coronary artery from the pulmonary artery in a pregnant woman with preeclampsia. J Cardiothorac Vasc Anesth. 2010;24(1):112–5.

8. Zavalloni D, Belli G, Caratti A, Presbitero P. Anomalous origin of the left coronary artery from the pulmonary artery in an adult pregnant patient: surgical and percutaneous myocardial revascularization. Ital Heart J. 2005;6(4):348–52.

9. Barbetakis N, Efstathiou A, Efstathiou N, Papagiannopoulou P, Soulountsi V, Fessatidis I. A longterm survivor of Bland-White-Garland syndrome with systemic collateral supply: a case report and review of the literature. BMC Surg. 2005;5:23.

10. Gribaa R, Slim M, Ben Salem H, Neffati E, Boughzela E. Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case report. J Med Case Rep. 2014;8:170.

11. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29(7):689–95.

12. Kreutzer U, Krulls-Munch J, Angres M, Schiessler A. Successful resuscitation of a patient with ventricular fibrillation in Bland-

13. White-Garland syndrome in adulthood. A case report. Z Kardiol. 1998;87(7):560–5.

Almanac of Clinical Medicine. 2015; : 136-141

PARTICULARS OF PREGNANCY MANAGEMENT AND DELIVERY IN PATIENTS WITH A HISTORY OF CORRECTIVE SURGERY FOR BLAND-WHITE- GARLAND SYNDROME

Petrukhin V. A., Mareeva M. Yu., Shuginin I. O., Efanov A. A., Stepanova E. A., Vishnyakova M. V., Mravyan S. R.

https://doi.org/10.18786/2072-0505-2015-38-136-141

Abstract

The article describes clinical cases of two pregnant women with a history of corrective surgery for Bland-White-Garland syndrome. During pregnancy, long-term results of surgery may translate into heart arrhythmias that occasionally are life threatening, into myocardial ischemia symptoms associated with a high probability of coronary artery bypass graft thrombosis. In both cases, there was a risk of preliminary pregnancy termination and development of fetoplacental insufficiency.

References

1. Bland EF, White PD, Garland J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J. 1933;8:787–801.

2. Burakovskii VA, Bokeriya LA, Podzolkov VP. Vrozhdennye poroki serdtsa. V: Burakovskii VA, Bokeriya LA, red. Serdechno-sosudistaya khirurgiya. M.: Meditsina; 1989. s. 345–82. Burakovskiy VA, Bokeriya LA, Podzolkov VP. Vrozhdennye poroki serdtsa [Congenital heart disease]. In: Burakovskiy VA, Bokeriya LA, editors. Serdechno-sosudistaya khirurgiya [Cardiovascular surgery]. Moscow: Meditsina; 1989. p. 345–82 (in Russian).

3. Alekseeva YuM, Potievskaya VI, Sakovich EA, Sitnikov AV, Soyustova EL, Fin'ko VA, Ardashev AV. Redkii sluchai sindroma Blanda – Uaita – Garlanda u vzrosloi patsientki. Kardiologiya. 2012;(11):86–91. Alekseeva YuM, Potievskaya VI, Sakovich EA, Sitnikov AV, Soyustova EL, Fin'ko VA, Ardashev AV. Redkiy sluchay sindroma Blanda – Uayta – Garlanda u vzrosloy patsientki [Rare case of Bland-White-Garland syndrome in adult patient]. Kardiologiya [J Cardiol]. 2012;(11):86–91 (in Russian).

4. Choong CK, Martinez C, Barner HB, Ludbrook PA. Bland-White-Garland syndrome in pregnancy: reoperation of ALCAPA with an internal thoracic radial artery “Y”-graft. Ann Thorac Surg. 2006;81(4):1512–4.

5. Nightingale AK, Burrell CJ, Marshall AJ. Anomalous origin of the left coronary artery from the pulmonary artery: natural history and normal pregnancies. Heart. 1998;80(6):629–31.

6. Wańczura P, Orłowski M, Stecko W, Weglarz M, Skoczyński K, Romanek J, Kukla P, Kuźniar J. Mitral regurgitation in course of Bland-White-Garland syndrome in female patient after four uncomplicated physiological labours. Pol Merkur Lekarski. 2011;31(182):103–5.

7. Lazar D, Enriquez LJ, Rozental T. Anomalous origin of the left coronary artery from the pulmonary artery in a pregnant woman with preeclampsia. J Cardiothorac Vasc Anesth. 2010;24(1):112–5.

8. Zavalloni D, Belli G, Caratti A, Presbitero P. Anomalous origin of the left coronary artery from the pulmonary artery in an adult pregnant patient: surgical and percutaneous myocardial revascularization. Ital Heart J. 2005;6(4):348–52.

9. Barbetakis N, Efstathiou A, Efstathiou N, Papagiannopoulou P, Soulountsi V, Fessatidis I. A longterm survivor of Bland-White-Garland syndrome with systemic collateral supply: a case report and review of the literature. BMC Surg. 2005;5:23.

10. Gribaa R, Slim M, Ben Salem H, Neffati E, Boughzela E. Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case report. J Med Case Rep. 2014;8:170.

11. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29(7):689–95.

12. Kreutzer U, Krulls-Munch J, Angres M, Schiessler A. Successful resuscitation of a patient with ventricular fibrillation in Bland-

13. White-Garland syndrome in adulthood. A case report. Z Kardiol. 1998;87(7):560–5.