Aborted sudden death during sports activity due to anomalous origin of the left coronary artery from the pulmonary trunk - dilemmas concerning surgical repair of the anomaly

Journal of Clinical and Basic Cardiology 1999; 2 (2): 279-280

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Keywords: Herzchirurgie,  koronare Anomalie,  plötzlicher Herztod,  cardiovascular surgery,  coronary anomaly,  sudden death

A young woman with a previously undiagnosed coronary anomaly - the left main artery arising from the pulmonary trunk - survived ventricular fibrillation which occurred during physical activity (aerobics). A surgical procedure which included the excision of the left coronary artery origin and reimplantation into aorta initially seemed to be successful. Due to the slight twisting of the reimplanted artery, severe stenosis developed and subsequently, bilateral mammary artery anastomosis had to be performed. J Clin Basic Cardiol 1999; 2: 279-80.