Abstract
We report a unique case of a 6-year-old male child with aborted sudden cardiac death due to ventricular fibrillation. A rare anomalous aortic origin of the right coronary artery was detected and supposed to be the cause of the malignant arrhythmia. Clinical exome sequencing did not reveal any pathogenic variant related to channelopathies nor other known heart-related genes. The patient underwent cardiac surgery and a cardiac defibrillator was implanted for secondary prevention.
Similar content being viewed by others
References
Brothers JA, Frommelt MA, Jaquiss RDB, Myerburg RJ, Fraser CD, Tweddell JS (2017) Expert consensus guidelines: Anomalous aortic origin of a coronary artery. J Thorac Cardiovasc Surg 153(6):1440–1457. https://doi.org/10.1016/j.jtcvs.2016.06.066
Yamanaka O, Hobbs RE (1990) Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21(1):28–40. https://doi.org/10.1002/ccd.1810210110
Adebo D, Jacobson Z, Harris MA (2015) Anomalous origin of the right coronary artery from the posterior, non-coronary sinus of Valsalva diagnosed by cardiac magnetic resonance imaging. Cardiol Young 25(5):1006–1008. https://doi.org/10.1017/S1047951114001346
Doshi AR, Opfer EK, Forsha D (2019) Anomalous aortic origin of the right coronary artery from the non-coronary sinus of Valsalva. Cardiol Young 29(4):531–533. https://doi.org/10.1017/S1047951119000039
Acknowledgements
We thank Dr Elisa Del Vecchio and Chiara Mizzon for support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Cicenia, M., Tamborrino, P.P., Silvetti, M.S. et al. Idiopathic Ventricular Fibrillation: Look for the Hidden Guilty—A case of aborted cardiac death. Pediatr Cardiol 42, 1650–1652 (2021). https://doi.org/10.1007/s00246-021-02700-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-021-02700-3