Sudden cardiac arrest in a patient with an anomalous left main coronary artery originating from the pulmonary artery

2009 ◽  
Vol 64 (6) ◽  
pp. 835-837 ◽  
Author(s):  
E. Aslanger ◽  
I. Altun ◽  
B. Umman
2018 ◽  
Vol 11 (24) ◽  
pp. e203-e205
Author(s):  
Bharat Marwaha ◽  
Owais Idris ◽  
Mobasser Mahmood ◽  
Archana Gundabolu ◽  
Syed Sohail Ali ◽  
...  

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
J Abdala Lizarraga ◽  
S Sanchez Alvarez ◽  
P Garcia Gonzalez ◽  
B Trejo Velasco ◽  
V Vidal Urrutia ◽  
...  

Abstract A 43-year-old male was brought to the emergency department due to a recovered sudden cardiac arrest that occurred while performing physical exercise of moderate intensity. The patient was admitted in a coronary care unit and performed complementary tests to rule out immediate causes of cardiac arrest electrocardiogram showed sinus rhythm, no repolarization abnormalities and normal QTc interval. Echocardiogram revealed no evidence of cardiac tamponade, massive pulmonary embolism (PE), ventricular dysfunction or valvular heart disease. Absence of pneumothorax in chest X-ray. Arterial blood gas test revealed a high lactate concentration with other parameters in normal range. Cerebral tomography showed absence of an acute hemorrhagic event. To continue with the study an emergent coronarography was performed showing epicardial arteries with no significant obstructive coronary artery disease associated with an anomalous origin of left main coronary artery in the right sinus of Valsalva with possible interarterial course. Coronary tomography confirmed the origin of the right coronary artery and the left main coronary artery in the right sinus of Valsalva with an interarterial course, proceeding to the reconstruction of the images with the volume rendering (VR) technique (Figure 1). Congenital anomalies of the coronary arteries are a rare but life-threatening condition. Most coronary abnormalities are asymptomatic and follow a benign course, however, in some cases they present with ischemic symptoms, heart failure, myocardial infarction, syncope or sudden death. The anomalous origin of the left main coronary artery in the right sinus of Valsalva can cause myocardial ischemia and should be ruled out in young patients who present sudden cardiac arrest induced by physical exercise. Abstract P269 Figure 1


2020 ◽  
Vol 28 (4) ◽  
pp. 290
Author(s):  
Weerapat Kositanurit ◽  
Manasawee Vassara ◽  
Yongkasem Vorasettakarnkij ◽  
Monravee Tumkosit ◽  
Vichai Benjacholamas ◽  
...  

2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.


Author(s):  
Pérez-Asensio Ana ◽  
Maneiro Melón Nicolás Manuel ◽  
Nuche Berenguer Jorge ◽  
Huertas Nieto Sergio ◽  
Escribano Subías Pilar ◽  
...  

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