J Pediatr Intensive Care 2015; 04(03): 166-167
DOI: 10.1055/s-0035-1559823
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Rare Etiology of Cardiogenic Shock in Children: Anomalous Origin of the Left Coronary Artery from the Opposite Sinus with an Intramural Course

Sophie C. Hofferberth
1   Department of Cardiac Surgery, Boston Children's Hospital, Harvard Medical School, Massachusetts, United States
,
Francis Fynn-Thompson
1   Department of Cardiac Surgery, Boston Children's Hospital, Harvard Medical School, Massachusetts, United States
› Author Affiliations
Further Information

Publication History

08 September 2014

30 November 2014

Publication Date:
20 August 2015 (online)

Abstract

Anomalous origin of the left coronary artery from the right sinus of Valsalva with an intramural course is a rare but potentially lethal congenital defect. While anomalous origin of the left coronary artery is a well-known cause of sudden cardiac death, it is less well appreciated that this anomaly may manifest in a variety of other clinical presentations, thereby leaving these patients at risk of missed or delayed diagnosis and subsequent poor outcomes. In this report, we describe an adolescent male with an unusual etiology of cardiogenic shock.

 
  • References

  • 1 Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000; 35 (6) 1493-1501
  • 2 Jaggers J, Lodge AJ. Surgical therapy for anomalous aortic origin of the coronary arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2005; 122-127
  • 3 Frommelt PC, Sheridan DC, Berger S, Frommelt MA, Tweddell JS. Ten-year experience with surgical unroofing of anomalous aortic origin of a coronary artery from the opposite sinus with an interarterial course. J Thorac Cardiovasc Surg 2011; 142 (5) 1046-1051
  • 4 Frommelt PC, Frommelt MA, Tweddell JS, Jaquiss RD. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol 2003; 42 (1) 148-154
  • 5 Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007; 115 (10) 1296-1305
  • 6 Sharma V, Burkhart HM, Dearani JA , et al. Surgical unroofing of anomalous aortic origin of a coronary artery: a single-center experience. Ann Thorac Surg 2014; 98 (3) 941-945