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Occlusion of left main coronary artery presenting with ventricular fibrillation in teenagers: an unrecognised cause of sudden death?

Published online by Cambridge University Press:  14 July 2020

Mayme Marshall Open the ORCID record for Mayme Marshall [Opens in a new window]  and
Seshadri Balaji
Mayme Marshall*
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
Seshadri Balaji
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
*
Author for correspondence: Mayme Marshall, MD, Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA. Tel: +1-509-981-6286. E-mail: marshama@ohsu.edu
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Abstract

In young patients with unexplained ventricular fibrillation, coronary occlusion may be missed by echocardiogram and misinterpreted by CT. We report two patients presenting with ventricular fibrillation and initially negative workup, later identified to have occlusion of left main coronary artery. We demonstrate the importance of angiography to rule out coronary occlusion in patients with unexplained ventricular fibrillation.

Keywords

ventricular fibrillationcoronary artery anomaliessudden deathcoronary occlusionleft coronary artery occlusion
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 8 , August 2020 , pp. 1212 - 1214
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Yamanaka, O, Hobbs, R.Coronary artery anomalies in 126,595 patients undergoing coronary angiography. Catheter Cardiovasc Diag 1990; 21: 28–40.CrossRefGoogle Scholar
Brothers, JA, Frommelt, M, Jasquiss, R, Myerburg, R, Fraser, C, Tweddell, J.Expert consensus guidelines: Anomalous aortic origin of a coronary artery. J Thorac Cardiovasc Surg. 2017; 153, 6: 1440–1457CrossRefGoogle Scholar
Yajima, S, Toda, K, Nishi, H, Yoshioka, D, Nakamura, T, Miyagawa, S, Yoshikawa, Y, Fukushima, S, Sawa, Y.Redo coronary bypass grafting for congenital left main coronary atresia: a case report. J Cardiothorac Surg 2017; 12: 26.CrossRefGoogle ScholarPubMed
Musiani, A, Cernigliaro, C, Sansa, M, Maselli, D, De Gasperis, C.Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardio-Thorac Surg 1997; 11: 505–514.CrossRefGoogle ScholarPubMed
Amaral, F, Tanamati, C, Granzotti, J, Haddad, J, Leite, J, Barbero-Marcial, M.Congenital atresia of the ostium of the left coronary artery: diagnostic difficulty and successful surgical revascularization in two patients. Arquivos Brasileiros de Cardiologia 2000; 74: 339–342.CrossRefGoogle ScholarPubMed
Furuyama, H, Yoshikazu, K, Nakajima, M, Okajima, M, Okajima, S, Nakayama, T, Sawada, H, Ohta, Y.Congenital atresia of left main coronary artery followed up for ages as a sequela of Kawasaki disease. Pediatr Int 2010; 52: 131–133.10.1111/j.1442-200X.2010.03080.xCrossRefGoogle ScholarPubMed
Elian, D, Hegesh, J, Agranat, O.Left main coronary atresia: Extremely rare coronary anomaly in an asymptomatic adult and an adolescent soccer player. Cardiol Review 2003; 11: 160–2.10.1097/01.CRD.0000064423.27902.BBCrossRefGoogle Scholar
Shah, M, Johnston, T, Cohen, G.Atresia of the main stem of the left coronary artery. Cardiol Young 2004; 14: 438.CrossRefGoogle ScholarPubMed