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Case Report| Volume 25, ISSUE 5, P312-315, May 2022

Acute myocardial infarction and sudden cardiac arrest caused by anomalous left coronary artery arising from the noncoronary cusp

Published:January 03, 2022DOI:https://doi.org/10.1016/j.jccase.2021.11.011

      Abstract

      Anomalous left coronary artery arising from the noncoronary cusp (LCANCC) is a rare congenital disorder. We herein describe a 17-year-old female patient with sudden cardiac arrest followed by refractory cardiogenic shock. LCANCC-induced acute myocardial infarction with left main coronary artery involvement was subsequently diagnosed, and the patient required a durable left ventricular assist device.
      <Learning objective: Anomalous left coronary artery arising from the noncoronary cusp is extremely rare, but poses a life-threatening condition. Coronary computed tomography angiography plays a crucial role for the assessment of high-risk anatomic features and decision-making for surgical repair.>

      Keywords

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      References

        • Angelini P.
        • Velasco J.A.
        • Flamm S.
        Coronary anomalies: incidence, pathophysiology, and clinical relevance.
        Circulation. 2002; 105: 2449-2454
        • Maron B.J.
        • Doerer J.J.
        • Haas T.S.
        • Tierney D.M.
        • Mueller F.O.
        Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006.
        Circulation. 2009; 119: 1085-1092
        • Grani C.
        • Buechel R.R.
        • Kaufmann P.A.
        • Kwong R.Y.
        Multimodality imaging in individuals with anomalous coronary arteries.
        JACC Cardiovasc Imaging. 2017; 10: 471-481
        • Perez-Pomares J.M.
        • de la Pompa J.L.
        • Franco D.
        • Henderson D.
        • Ho S.Y.
        • Houyel L.
        • Kelly R.G.
        • Sedmera D.
        • Sheppard M.
        • Sperling S.
        • Thiene G.
        • van den Hoff M.
        • Basso C.
        Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology–a position statement of the development, anatomy, and pathology ESC Working Group.
        Cardiovasc Res. 2016; 109: 204-216
        • Cheezum M.K.
        • Liberthson R.R.
        • Shah N.R.
        • Villines T.C.
        • O'Gara P.T.
        • Landzberg M.J.
        • Blankstein R.
        Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva.
        J Am Coll Cardiol. 2017; 69: 1592-1608
        • Van Hare G.F.
        • Ackerman M.J.
        • Evangelista J.K.
        • Kovacs R.J.
        • Myerburg R.J.
        • Shafer K.M.
        • Warnes C.A.
        • Washington R.L.
        Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 4: congenital heart disease: a scientific statement from the American Heart Association and American College of Cardiology.
        J Am Coll Cardiol. 2015; 66: 2372-2384
        • Fujimoto S.
        • Kondo T.
        • Orihara T.
        • Sugiyama J.
        • Kondo M.
        • Kodama T.
        • Fukazawa H.
        • Nagaoka H.
        • Oida A.
        • Yamazaki J.
        • Takase S.
        Prevalence of anomalous origin of coronary artery detected by multi-detector computed tomography at one center.
        J Cardiol. 2011; 57: 69-76