Surviving sudden cardiac death secondary to anomalous left coronary artery from the pulmonary artery: a case report and literature review

Osama Alsara; Jagadeesh K Kalavakunta; Victor Hajjar; Ahmad Alsarah; Nam Cho; Gaurav Dhar

doi:10.1016/j.hrtlng.2014.06.048

Surviving sudden cardiac death secondary to anomalous left coronary artery from the pulmonary artery: a case report and literature review

Heart Lung. 2014 Sep-Oct;43(5):476-80. doi: 10.1016/j.hrtlng.2014.06.048. Epub 2014 Jul 8.

Authors

Osama Alsara¹, Jagadeesh K Kalavakunta², Victor Hajjar², Ahmad Alsarah³, Nam Cho², Gaurav Dhar²

Affiliations

¹ Department of Internal Medicine, Division of General Internal Medicine, Michigan State University, East Lansing, MI, USA. Electronic address: osama.alsara@hc.msu.edu.
² Department of Internal Medicine, Division of Cardiovascular Diseases, Michigan State University, East Lansing, MI, USA.
³ Department of Internal Medicine, Division of General Internal Medicine, Michigan State University, East Lansing, MI, USA.

PMID: 25012636
DOI: 10.1016/j.hrtlng.2014.06.048

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon type of congenital coronary anomaly. In adults, the clinical picture of ALCAPA varies widely between being asymptomatic, presenting similarly to other heart diseases, or as malignant arrhythmias. Patients who have cardiac arrest are usually young and do not exhibit prior warning symptoms. In this article we describe a case of a 22-year-old healthy male, who experienced cardiac arrest during exertion. He was then diagnosed with ALCAPA, which was surgically corrected.

Keywords: Adult; Congenital coronary anomaly; Resuscitation; Sudden cardiac death.

Publication types

Case Reports
Review

MeSH terms

Bland White Garland Syndrome / complications*
Bland White Garland Syndrome / surgery
Death, Sudden, Cardiac / etiology*
Death, Sudden, Cardiac / prevention & control
Heart Arrest / etiology*
Humans
Male
Physical Exertion
Young Adult