TEHRAN HEART CENTER, NORTH KAREGAR AVE, TEHRAN, IRAN
The case of a previously asymptomatic 13-year-old boy who presented with cardiac arrest after playing football and drinking cold water is presented. He was immediately transferred from the football field to a nearby hospital and resuscitated at the emergency ward. After resuscitation, the EKG showed signs of anterior wall myocardial infarction, and there were elevated serum cardiac enzymes. Exercise isotopic study, Tran esophageal echocardiography and coronary angiography were performed, and the diagnosis of the anomalous origin of the left coronary artery from the pulmonary artery was established. The patient was successfully treated by direct aortic reimplantation of the abnormal left coronary artery. In this case, cardiac arrest was the first syptom of anomalous origin of left coronary artery from the pulmonary artery. It is recommended to consider this abnormality in young patients with an episode of sudden death.