Key result
Therapeutic hypothermia and coronary artery bypass grafting successfully treated 1 young athlete with sudden cardiac arrest due to an anomalous coronary artery, with 0 neurological complications.
Case Report (n=1)
A young athlete with sudden cardiac arrest due to an anomalous left main coronary artery was successfully treated with therapeutic hypothermia and CABG without neurological complications.
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Should not change practice in anomalous coronary arrest; hypothesis-generating for hypothermia plus CABG.
Reported herein is a coronary anomaly that occurred in a young adolescent athlete who presented with cardiopulmonary arrest. The patient was resuscitated and treated with therapeutic hypothermia. The patient had no associated neurological complications at follow up. Enhanced computed tomography of the heart indicated an anomalous left main coronary artery originating from the right coronary sinus and coursing between the aorta and the pulmonary artery. The patient underwent surgical intervention with coronary artery bypass grafting to prevent symptom recurrence.
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Kojima et al. (2013) conducted a case report in Sudden cardiac arrest, anomalous left main coronary artery (n=1). Therapeutic hypothermia and coronary artery bypass grafting was evaluated on Neurological complications at follow up. Therapeutic hypothermia and coronary artery bypass grafting successfully treated 1 young athlete with sudden cardiac arrest due to an anomalous coronary artery, with 0 neurological complications.
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