[Resuscitation in ventricular fibrillation as the first manifestation of Bland-White-Garland syndrome in adulthood].
METHODS
This case presents a 31-year-old male patient with anomalous origin of the left coronary artery from the pulmonary trunc. First symptom of the disease was a survived sudden cardiac death. Subsequent angiographic and echocardiographic studies demonstrated the anomalous origin of the left coronary artery from the pulmonary artery. There were no signs of prior myocardial infarction. After reimplantation of the anomalous originating left coronary artery no myocardial ischemia could be detected in the thallium-201 myocardial imaging, which was present before surgical correction. In this case myocardial ischemia was the only potential triggering mechanism responsible for the sudden cardiac death, which was no longer detectable after surgical correction. Therefore no additional pharmacological and nonpharmacological antiarrhythmic treatment was initiated.


CONCLUSIONS
In rare cases the first manifestation of Bland White Garland syndrome in the adult patient could be sudden cardiac death due to ventricular fibrillation.
Weiss
C
C
Universitätsklinik Eppendorf, Abteilung für Kardiologie, Hamburg. Weiss@uke.uni-hamburg.de
Willems
S
S
Hofmann
T
T
Rickers
C
C
Meinertz
T
T
D000328:Adult; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology; D012151:Resuscitation; D013577:Syndrome; D014693:Ventricular Fibrillation / Q000209:etiology*