Sudden Cardiac Arrest Associated with an Anomalous Aortic Origin of the Left Coronary Artery from the Opposite Sinus of Valsalva

Takeshi Shimizu; Shoji Iwaya; Satoshi Suzuki; Nobuo Sakamoto; Koichi Sugimoto; Kazuhiko Nakazato; Hitoshi Suzuki; Tomomi Nishimura; Yukihiro Takahashi; Shuichi Saito; Yasuchika Takeishi

doi:10.2169/internalmedicine.53.2676

CASE REPORTS

Sudden Cardiac Arrest Associated with an Anomalous Aortic Origin of the Left Coronary Artery from the Opposite Sinus of Valsalva

Takeshi Shimizu, Shoji Iwaya, Satoshi Suzuki, Nobuo Sakamoto, Koichi Sugimoto, Kazuhiko Nakazato, Hitoshi Suzuki, Tomomi Nishimura, Yukihiro Takahashi, Shuichi Saito, Yasuchika Takeishi

Author information

Takeshi Shimizu
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Shoji Iwaya
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Satoshi Suzuki
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Nobuo Sakamoto
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Koichi Sugimoto
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Kazuhiko Nakazato
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Hitoshi Suzuki
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Tomomi Nishimura
Department of Pediatric Cardiology, Tokyo Women's Medical University, Japan
Yukihiro Takahashi
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Japan
Shuichi Saito
Department of Cardiology and Hematology, Fukushima Medical University, Japan
Yasuchika Takeishi
Department of Cardiology and Hematology, Fukushima Medical University, Japan

Keywords: sudden cardiac death, coronary artery anomaly, anomalous aortic origin of the coronary artery, surgery

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 22 Pages 2601-2604

DOI https://doi.org/10.2169/internalmedicine.53.2676

Details

Abstract

A 13-year-old boy was brought to our hospital after recovering from ventricular fibrillation that occurred after an episode of chest pain during training with his soccer team. Subsequent 64-slice multidetector computed tomography revealed the left coronary artery arising from the right sinus of Valsalva, which coursed between the ascending aorta and root of the main pulmonary artery. Surgical correction including unroofing of the left coronary ostium and pulmonary artery translocation was performed successfully. One year later, he remained asymptomatic and was back on his soccer team.

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