Malignant Course of Anomalous Left Coronary Artery Causing Sudden Cardiac Arrest: A Case Report and Review of the Literature
Joint Authors
Anantha Narayanan, Mahesh
Mahfood Haddad, Toufik
Smer, Aiman
DeZorzi, Christopher
Akinapelli, Abhilash
Baskaran, Janani
Biddle, William P.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Sudden cardiac arrest has been reported to occur in patients with congenital anomalous coronary artery disease.
About 80% of the anomalies are benign and incidental findings at the time of catheterization.
We present a case of sudden cardiac arrest caused by anomalous left anterior descending artery.
61-year-old African American female was brought to the emergency department after sudden cardiac arrest.
Initial EKG showed sinus rhythm with RBBB and LAFB with nonspecific ST-T wave changes.
Coronary angiogram revealed no atherosclerotic disease.
The left coronary artery was found to originate from the right coronary cusp.
Cardiac CAT scan revealed similar findings with interarterial and intramural course.
Patient received one-vessel arterial bypass graft to her anomalous coronary vessel along with a defibrillator for secondary prevention.
Sudden cardiac arrest secondary to congenital anomalous coronary artery disease is characterized by insufficient coronary flow by the anomalous left coronary artery to meet elevated left ventricular (LV) myocardial demand.
High risk defects include those involved with the proximal coronary artery or coursing of the anomalous artery between the aorta and pulmonary trunk.
Per guidelines, our patient received one vessel bypass graft to her anomalous vessel.
It is important for clinicians to recognize such presentations of anomalous coronary artery.
American Psychological Association (APA)
Anantha Narayanan, Mahesh& DeZorzi, Christopher& Akinapelli, Abhilash& Mahfood Haddad, Toufik& Smer, Aiman& Baskaran, Janani…[et al.]. 2015. Malignant Course of Anomalous Left Coronary Artery Causing Sudden Cardiac Arrest: A Case Report and Review of the Literature. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058161
Modern Language Association (MLA)
Anantha Narayanan, Mahesh…[et al.]. Malignant Course of Anomalous Left Coronary Artery Causing Sudden Cardiac Arrest: A Case Report and Review of the Literature. Case Reports in Cardiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058161
American Medical Association (AMA)
Anantha Narayanan, Mahesh& DeZorzi, Christopher& Akinapelli, Abhilash& Mahfood Haddad, Toufik& Smer, Aiman& Baskaran, Janani…[et al.]. Malignant Course of Anomalous Left Coronary Artery Causing Sudden Cardiac Arrest: A Case Report and Review of the Literature. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058161
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058161