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Life-saving myocarditis? A case in a young adult leading to discovery of an anomalous origin of the right coronary artery

Published online by Cambridge University Press:  03 August 2020

Rachel Rosenthal
Affiliation:
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Pediatrics, LAC+USC Medical Center, Los Angeles, CA, USA
Hannah Obasi
Affiliation:
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Pediatrics, LAC+USC Medical Center, Los Angeles, CA, USA
Daniel D. Im*
Affiliation:
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Pediatrics, LAC+USC Medical Center, Los Angeles, CA, USA
*
Author for correspondence: Daniel Im, Department of Pediatrics, LAC+USC Medical Center, 2020 Zonal Ave. IRD 114, Los AngelesCA, 90033, USA. Tel: +323-409-5707; Fax: +323-226-4380. E-mail: [email protected]

Abstract

Myocarditis and coronary artery anomalies are both potentially life-threatening aetiologies of cardiac chest pain in children. We present a case of a young man presenting with non-exertional chest pain and subsequently found to have an anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course in addition to a diagnosis of myocarditis. The patient subsequently was able to undergo surgical correction of his anomalous coronary to mitigate the risk of sudden cardiac death.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Khalilian, M, Emami Moghadam, A., Torabizadeh, M., Khalilinejad, F., Moftakhar, S. Pediatric and adolescent chest pain: a cross sectional study. Int J Pediatr 2015; 3: 435440. doi: 10.22038/ijp.2015.3911 Google Scholar
Kindermann, I, Barth, C, Ukena, C, et al. Update on myocarditis. J Am Coll Cardiol 2012; 59: 779792. doi: 10.1016/j.jacc.2011.09.074 CrossRefGoogle Scholar
Frescura, C, Basso, C, Thiene, G, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 1998; 29: 689695.CrossRefGoogle Scholar
Buccheri, D, Cortese, B, Piraino, D et al., Left main coronary artery and ostial left anterior descending coronary artery stenting in a single coronary artery during NSTEMI. The OCT response. Int J Cardiol 2015; 184: 499501. doi: 10.1016/j.ijcard.2015.03.032 CrossRefGoogle Scholar
Landry, CH, Allan, KS, Connelly, KA, et al. Sudden cardiac arrest during participation in competitive sports. N Engl J Med 2017; 377: 1943.CrossRefGoogle ScholarPubMed
Lorenz, EC, Mookadam, F, Mookadam, M, et al. A systematic overview of anomalous coronary anatomy and an examination of the association with sudden cardiac death. Rev Cardiovasc Med 2006; 7: 205.Google Scholar
Opolski, MP, et al. Prevalence and characteristics of coronary anomalies originating from the opposite sinus of Valsalva in 8,522 patients referred for coronary computed tomography angiography. Am J Cardiol 2013; 111: 13611367.CrossRefGoogle ScholarPubMed
Laissy, JP, Messin, B, Varenne, O, et al. MRI of acute myocarditis: a comprehensive approach based on various imaging sequences. Chest 2002; 122: 16381648.CrossRefGoogle ScholarPubMed
Rajiah, P, Desai, MY, Kwon, D, et al. MR imaging of myocardial infarction. Radiographics 2013; 33: 13831412.CrossRefGoogle Scholar
Woudstra, L, Juffermans, LJM, van Rossum, AC, et al., Infectious myocarditis: the role of the cardiac vasculature. Heart Fail Rev 2018; 23: 583595. doi: 10.1007/s10741-018-9688-x CrossRefGoogle ScholarPubMed