Bland-White-Garland-Syndrome: A Rare Cause of Ischemic Heart Disease in A Young Adult

Bland–White–Garland syndrome (ALCAPA) is one of the congenital coronary artery anomalies. Majority of cases present in infancy, however, few patients survive to adulthood. It can present as effort angina due to relative ischemia and coronary steal, and can cause diagnostic dilemma. It is important to be aware of this potentially lethal condition to prevent life threatening complications. We present a 34-year old male, who presented with atypical chest pain and was found to have ALCAPA on evaluation, and underwent successful surgical correction.