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Occlusion of left main coronary artery presenting with ventricular fibrillation in teenagers: an unrecognised cause of sudden death?

Published online by Cambridge University Press:  14 July 2020

Mayme Marshall Open the ORCID record for Mayme Marshall [Opens in a new window]  and
Seshadri Balaji
Mayme Marshall*
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
Seshadri Balaji
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
*
Author for correspondence: Mayme Marshall, MD, Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA. Tel: +1-509-981-6286. E-mail: marshama@ohsu.edu
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Abstract

In young patients with unexplained ventricular fibrillation, coronary occlusion may be missed by echocardiogram and misinterpreted by CT. We report two patients presenting with ventricular fibrillation and initially negative workup, later identified to have occlusion of left main coronary artery. We demonstrate the importance of angiography to rule out coronary occlusion in patients with unexplained ventricular fibrillation.

Keywords

ventricular fibrillationcoronary artery anomaliessudden deathcoronary occlusionleft coronary artery occlusion
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 8 , August 2020 , pp. 1212 - 1214
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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