Park JW, Lee JH, Kim KS, Bang DW, Hyon MS, Lee MH, Park BW. Successful extracorporeal life support in sudden cardiac arrest due to coronary anomaly. World J Cardiol 2016; 8(6): 379-382 [PMID: 27354896 DOI: 10.4330/wjc.v8.i6.379]
Corresponding Author of This Article
Byoung-Won Park, MD, Department of Internal Medicine, Division of Cardiology, Soon Chun Hyang University Hospital, 657 Hannam Dong, Yong San Gu, Seoul KS013, South Korea. won0211@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Jun 26, 2016; 8(6): 379-382 Published online Jun 26, 2016. doi: 10.4330/wjc.v8.i6.379
Successful extracorporeal life support in sudden cardiac arrest due to coronary anomaly
Jung Wan Park, Jae Hyuk Lee, Ki-Sik Kim, Duk Won Bang, Min-Su Hyon, Min-Ho Lee, Byoung-Won Park
Jung Wan Park, Jae Hyuk Lee, Ki-Sik Kim, Duk Won Bang, Min-Su Hyon, Min-Ho Lee, Byoung-Won Park, Department of Internal Medicine, Division of Cardiology, Soon Chun Hyang University Hospital, Seoul KS013, South Korea
Author contributions: Bang DW, Hyon MS and Lee MH designed and reviewed the report; Lee JH and Kim KS collected clinical data; Park JW and Park BW designed and wrote the report; all co-authors read and approved the final report.
Institutional review board statement: This is a clinical case report. The patient related identification information has been avoided according to the policy of Soon Chun Hyang University Medical Center Institutional Review Board.
Informed consent statement: The patient gave informed consent.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Byoung-Won Park, MD, Department of Internal Medicine, Division of Cardiology, Soon Chun Hyang University Hospital, 657 Hannam Dong, Yong San Gu, Seoul KS013, South Korea. won0211@gmail.com
Telephone: +82-2-7103083 Fax: +82-2-7099554
Received: January 12, 2016 Peer-review started: January 14, 2016 First decision: February 29, 2016 Revised: March 22, 2016 Accepted: May 7, 2016 Article in press: May 9, 2016 Published online: June 26, 2016
Abstract
Extracorporeal life support (ECLS) has recently been reported to have a survival benefit in patients with cardiac arrest. It is now used widely as a lifesaving modality. Here, we describe a case of sudden cardiac arrest (SCA) in a young athlete with an anomalous origin of the right coronary artery from the left coronary sinus. Resuscitation was successful using ECLS before curative bypass surgery. We highlight the efficacy of ECLS for a patient with SCA caused by a rare, unexpected aetiology. In conclusion, ECLS was a lifesaving modality for SCA due to an anomalous coronary artery in this young patient.
Core tip: We describe the case of an adolescent with out-of-hospital cardiac arrest during intense physical activity; this patient had an anomalous origin of the right coronary artery from the left coronary sinus. He was resuscitated successfully using extracorporeal life support (ECLS). This case highlights the utility of ECLS for a young patient with refractory sudden cardiac arrest due to this rare, unexpected aetiology.
