Document Detail

Anomalous coronary artery from the wrong sinus in a 15-year-old boy.
MedLine Citation:
PMID:  19052806     Owner:  NLM     Status:  MEDLINE    
Congenital coronary artery anomalies are a well-recognized risk factor for sudden cardiac death in children as well as young adults, mostly during or immediately after intense exertion on the athletic field. Because these malformations are amenable to surgical treatment, timely identification is crucial. Unfortunately, antemortem diagnosis is notoriously difficult, partly due to the absence of abnormal test results in routine investigations. We present a 15-year-old boy who collapsed during exercise due to ventricular fibrillation. Coronary abnormalities were initially not identified, but they were clearly visualized by means of an echocardiogram and confirmed by multislice computed tomography. We would like to emphasize that echocardiography is capable of accurately identifying congenital coronary anomalies when attention is paid to the correct diagnostic hallmarks.
K A Marcus; J Lemson; A Backx; S K Singh; C Neeleman
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-04
Journal Detail:
Title:  Pediatric cardiology     Volume:  30     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-04     Completed Date:  2009-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-7     Citation Subset:  IM    
Department of Paediatrics, Radboud University Nijmegen Medical Centre, Postbus 9101, 6500 HB, Nijmegen, The Netherlands.
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MeSH Terms
Aorta / abnormalities*,  ultrasonography
Coronary Sinus / abnormalities*,  ultrasonography
Coronary Vessel Anomalies / complications,  pathology*,  ultrasonography
Sinus of Valsalva / abnormalities
Tomography, Spiral Computed
Ventricular Fibrillation / etiology

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