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:

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

Department of Internal Medicine, Division of Cardiology, University of Jordan, Amman, Jordan
nternal Medicine Department, Al Assad University Hospital and AL Mouwasat University Hospital, Damascus, Syria
Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
International Cardiovascular Research Journal: Vol.14, issue 2; e102070
published online: June 15, 2020
article type: Case Report
received: February 21, 2020
accepted: May 27, 2020

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 Cardiovasc Res J. 2020;14(2):e102070. 

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.

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