Aborted sudden cardiac death in a young male with anomalous left coronary artery arising from the pulmonary artery

Abstract

Anomalous left coronary artery arising from the pulmonary artery (ALCAPA) is a rare type of congenital coronary abnormality that may be associated with early infant mortality and sudden adult cardiac death. We report a case regarding a 23-year-old male who collapsed during a marathon race and was resuscitated with cardiopulmonary resuscitation. Subsequent workups verified the diagnosis of ALCAPA. The patient underwent surgical intervention with obliteration of the ALCAPA orifice and coronary artery bypass grafting with left internal mammary artery to left anterior descending coronary artery. The procedure was done smoothly, and he was discharged uneventfully.

Keywords

• Aborted sudden cardiac death
• congenital coronary anomaly
• Anomalous left coronary artery arising from the pulmonary artery