Cardiac arrest due to an anomalous aortic origin of a coronary artery: are older patients really safe?
Inês AlmeidaHelder SantosHugo MirandaMariana SantosSamuel AlmeidaJoana ChinPublished in: Revista Brasileira de terapia intensiva (2021)
The authors report a rare case of successful Advanced Life Support in the context of cardiac arrest due to the presence of an anomalous aortic origin of the right coronary artery in a 49-year-old patient. The patient was admitted due to chest pain and dyspnea, with rapid evolution of pulseless ventricular tachycardia and cardiopulmonary arrest. Acute myocardial infarction was considered, and in the absence of a hemodynamic laboratory in the hospital, thrombolysis was performed. Subsequently, coronary angiography revealed no angiographic lesions in the coronary arteries and an anomalous right coronary artery originating from the opposite sinus of Valsalva. Coronary computed tomography angiography confirmed this finding and determined the course between the pulmonary artery and the aorta. The patient underwent cardiac surgery with a bypass graft to the right coronary artery, with no recurrent episodes of arrythmia.
Keyphrases
- coronary artery
- pulmonary artery
- cardiac arrest
- acute myocardial infarction
- case report
- cardiac surgery
- rare case
- cardiopulmonary resuscitation
- aortic valve
- acute kidney injury
- cell proliferation
- pulmonary hypertension
- computed tomography
- pulmonary arterial hypertension
- percutaneous coronary intervention
- coronary artery disease
- atrial fibrillation
- acute ischemic stroke
- electronic health record
- acute care
- ejection fraction
- loop mediated isothermal amplification