title: Cardiac arrest due to aberrant left coronary artery originating from the right sinus of Valsalva in a young girl.
abstract: We report a 14-year-old girl who sustained a syncope followed by cardiac arrest. She was kept alive for three days by full cardiocirculatory support using left and right ventricular assist devices, but subsequently died in multiple organ failure. Autopsy revealed an anomalous origin of the left coronary artery (LCA) from the right sinus of Valsalva (RSV) and a major left anterior wall infarction. A cyclo-ergometric stress test performed two years before having been negative, we discuss its value in preventing sudden death due to coronary anomalies.
authors.affiliation: Department of Intensive Care, University Hospital of Antwerp, Belgium.
authors.forename: J H
authors.initials: JH
authors.lastname: Vander Sande
authors.forename: M F
authors.initials: MF
authors.lastname: Vandermast
authors.forename: B J
authors.initials: BJ
authors.lastname: Amsel
authors.forename: P A
authors.initials: PA
authors.lastname: Verrelst
authors.forename: P J
authors.initials: PJ
authors.lastname: Walter
authors.forename: L L
authors.initials: LL
authors.lastname: Bossaert
mesh_terms: D000293:Adolescent; D003330:Coronary Vessel Anomalies / Q000145:classification / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D012850:Sinus of Valsalva / Q000002:abnormalities*