Asian Journal of Cardiology Research

Heart Arrest Revealing a Killer Coronary Artery

M. Naaim *

Cardiology Department, ARRAZI Hospital, Mohammed VI University Hospital, Marrakech, Morocco.

M. Ztati

Cardiology Department, ARRAZI Hospital, Mohammed VI University Hospital, Marrakech, Morocco.

M. El Jamili

Cardiology Department, ARRAZI Hospital, Mohammed VI University Hospital, Marrakech, Morocco.

S. El Karimi

Cardiology Department, ARRAZI Hospital, Mohammed VI University Hospital, Marrakech, Morocco.

M. El Hattaoui

Cardiology Department, ARRAZI Hospital, Mohammed VI University Hospital, Marrakech, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Anomalous origin of the left main coronary artery is a congenital heart defect in which it arises from the right coronary sinus. This anomaly carries a high risk of sudden death. The diagnosis can be made by ultrasound examination. Silent myocardial ischemia must be sought. Various surgical techniques have been described. We report the case of a child who presented with cardiac arrest occurring at rest, recovered by external cardiac massage and which has benefited from a surgical intervention with a good evolution.

Keywords: Congenital coronary artery anomalies, interarterial pathway, computed tomography angiography, sudden death

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