Abstract
IntroductionWe report a rare coronary anomaly presenting with aborted sudden death in an octogenarian. An anomalous left coronary artery from the pulmonary artery is a rare coronary anomaly which usually presents in the first year of life. Survival into adulthood and the elderly years is extremely rare.Case presentationAn 85-year-old Caucasian woman was brought to our hospital following cardiopulmonary arrest. After prolonged resuscitation and stabilization of our patient, further evaluation revealed an anomalous left coronary artery from pulmonary artery syndrome. She was discharged on medication.ConclusionAn anomalous left coronary artery from the pulmonary artery can present in elderly and even octogenarian patients. Careful history, physical examination and an appropriate invasive study are needed to confirm the diagnosis.
Highlights
We report a rare coronary anomaly presenting with aborted sudden death in an octogenarian
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA), known as BlandWhite-Garland syndrome is a rare congenital anomaly occurring in one in 300,000 births [1].The typical clinical course is severe left-sided heart failure presenting at the age of one to two months [2]
We describe a case of an ALCAPA in an 85-year-old woman who presented with aborted sudden death
Summary
Anomalous origin of the left main coronary artery from the pulmonary artery (ALCAPA), known as BlandWhite-Garland syndrome is a rare congenital anomaly occurring in one in 300,000 births [1].The typical clinical course is severe left-sided heart failure presenting at the age of one to two months [2]. We describe a case of an ALCAPA in an 85-year-old woman who presented with aborted sudden death. Case presentation An 85-year-old Caucasian woman experienced sudden loss of consciousness during walking. She was brought to our hospital and found to be in ventricular fibrillation. Our patient converted to sinus rhythm with stable hemodynamics. She had no coronary risk factors or history of cardiovascular disease. After three days and extubation of our patient, a coronary angiography and cardiac catheterization was performed. Her left main coronary artery could not be selectively engaged. She was discharged home with stable cardiovascular and neurologic status a few days later
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