CARDIAC ARREST AS THE CLINICAL PRESENTATION OF THE ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY IN 13-YEAR-OLD ADOLESCENT

YAMINI SHARIF, A.; KARIMI, A.; MOVAHEDI GHASEMI, N.

CARDIAC ARREST AS THE CLINICAL PRESENTATION OF THE ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY IN 13-YEAR-OLD ADOLESCENT

Authors

A. YAMINI SHARIF

A. KARIMI

N. MOVAHEDI GHASEMI

TEHRAN HEART CENTER, NORTH KAREGAR AVE, TEHRAN, IRAN

Abstract

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.

Keywords

ANOMALOUS ORIGIN OF LEFT CORONARY ARTERY

CARDIAC ARREST

CORONARY REIMPLANTATION

Volume 5, Issue 4
Autumn 2004
Pages 49-52

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Iranian Heart Journal

CARDIAC ARREST AS THE CLINICAL PRESENTATION OF THE ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY IN 13-YEAR-OLD ADOLESCENT

Volume 5, Issue 4Autumn 2004Pages 49-52

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Volume 5, Issue 4
Autumn 2004
Pages 49-52