Hostname: page-component-84b7d79bbc-7nlkj Total loading time: 0 Render date: 2024-07-30T17:01:39.460Z Has data issue: false hasContentIssue false
  • English
  • Français

A rare coronary artery anomaly in a 14-year-old boy with sudden cardiac arrest

Published online by Cambridge University Press:  22 September 2022

Sarah Ruffing Open the ORCID record for Sarah Ruffing [Opens in a new window] ,
Hashim Abdul-Khaliq  and
Martin Poryo
Sarah Ruffing*
Affiliation:
Department of Pediatric Cardiology, Universität des Saarlandes - Campus Homburg, Homburg, Germany
Hashim Abdul-Khaliq
Affiliation:
Department of Pediatric Cardiology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Saarland, Germany
Martin Poryo
Affiliation:
Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany
*
Author for correspondence: Sarah Ruffing, Department of Pediatric Cardiology, Universität des Saarlandes - Campus Homburg, Homburg, Germany. E-mail: sarah.ruffing@uks.eu
Get access Rights & Permissions [Opens in a new window]

Abstract

Congenital coronary artery anomalies represent a rare cause for cardiac arrest in children and adults; however, most of these anomalies are asymptomatic and incidental findings. We report on a 14-year-old boy who was admitted to our hospital after cardiopulmonary resuscitation at home. Diagnostic workup including histopathology revealed parvovirus B19 in endomyocardial biopsy. Moreover, cardiac catheterisation as well as CT angiography identified an anomalous origin of the right coronary artery with an interarterial course. Since this anomalous coronary artery might have caused impaired myocardial perfusion causing cardiac arrest, surgical correction and implantation of a cardioverter defibrillator were performed. The further post-operative clinical course (7 months) has been uneventful.

Keywords

Coronary artery anomalycardiac arrestresuscitationimplantable cardioverter defibrillator
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 5 , May 2023 , pp. 829 - 831
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Schiavone, M, Gobbi, C, Gasperetti, A, et al. Congenital coronary artery anomalies and sudden cardiac death. Pediatr Cardiol 2021; 42: 1676–1687.CrossRefGoogle ScholarPubMed
Bigler, MR, Ashraf, A, Seiler, C, et al. Hemodynamic relevance of anomalous coronary arteries originating from the opposite sinus of Valsalva-In search of the evidence. Front Cardiovasc Med 2021; 7: 7. DOI 10.3389/fcvm.2020.591326.CrossRefGoogle ScholarPubMed
Lee, H-J, Hong, YJ, Kim, HY, et al. Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance. Radiology 2012; 262: 101–108.CrossRefGoogle ScholarPubMed
Baumgartner, H, De Backer, J, Babu-Narayan, SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J 2021; 42: 563–645.CrossRefGoogle ScholarPubMed
Kuethe, F, Sigusch, HH, Hilbig, K, et al. Detection of viral genome in the myocardium: lack of prognostic and functional relevance in patients with acute dilated cardiomyopathy. Am Heart J 2007; 153: 850–858.CrossRefGoogle ScholarPubMed