Sudden Cardiac Arrest in A Young Adult Caused by Anomalous Origin of the Left Anterior Descending Artery from the Right Sinus of Valsalva: A Case Report

AUTHORS

Abdullah Alhouri ORCID 1 , * , Hasan Al Houri ORCID 2 , Omar Obeidat ORCID 1 , Bayan Baniissa ORCID 1 , Malik Juweid ORCID 3

1 Department of Internal Medicine, Division of Cardiology, University of Jordan, Amman, Jordan

2 nternal Medicine Department, Al Assad University Hospital and AL Mouwasat University Hospital, Damascus, Syria

3 Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan

How to Cite: Alhouri A, Al Houri H, Obeidat O, Baniissa B, Juweid M. Sudden Cardiac Arrest in A Young Adult Caused by Anomalous Origin of the Left Anterior Descending Artery from the Right Sinus of Valsalva: A Case Report, Int Cardio Res J. 2020 ; 14(2):e102070.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 14 (2); e102070
Published Online: June 15, 2020
Article Type: Case Report
Received: February 21, 2020
Accepted: May 27, 2020
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Abstract

Introduction:

Coronary Artery Anomalies (CAAs) are rare, with their prevalence ranging from 0.6% to 1.3%.

Case Presentation:

A 33-year-old man with no previous medical history was referred to the emergency department with Sudden Cardiac Arrest (SCA) while playing soccer. Systematic assessment revealed that the SCA was caused by a scarce CAA; the Left Anterior Descending (LAD) artery arising from the Right Sinus of Valsalva (RSV). There was also Left Ventricular (LV) systolic dysfunction with an LV ejection fraction of 35%. The patient subsequently underwent single vessel coronary artery bypass grafting of the Left Internal Mammary Artery (LIMA) to LAD as well as cardioverter-defibrillator placement and had no further incidence of SCA.

Conclusions:

Comprehensive knowledge of CAAs and the related symptoms shortens the time to correct diagnosis and initiation of proper management and is likely to reduce the frequency of complications.

© 0, Shiraz University of Medical Sciences.

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