Sudden cardiac arrest associated with an anomalous aortic origin of the left coronary artery from the opposite sinus of valsalva.
A 13-year-old boy was brought to our hospital after recovering from ventricular fibrillation that occurred after an episode of chest pain during training with his soccer team. Subsequent 64-slice multidetector computed tomography revealed the left coronary artery arising from the right sinus of Valsalva, which coursed between the ascending aorta and root of the main pulmonary artery. Surgical correction including unroofing of the left coronary ostium and pulmonary artery translocation was performed successfully. One year later, he remained asymptomatic and was back on his soccer team.
Department of Cardiology and Hematology, Fukushima Medical University, Japan.
Takeshi
T
Shimizu
Shoji
S
Iwaya
Satoshi
S
Suzuki
Nobuo
N
Sakamoto
Koichi
K
Sugimoto
Kazuhiko
K
Nakazato
Hitoshi
H
Suzuki
Tomomi
T
Nishimura
Yukihiro
Y
Takahashi
Shuichi
S
Saito
Yasuchika
Y
Takeishi
D000293:Adolescent; D001011:Aorta; D006348:Cardiac Surgical Procedures; D002637:Chest Pain / Q000000981:diagnostic imaging; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D012850:Sinus of Valsalva / Q000002:abnormalities*; D012916:Soccer