Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T11:51:07.205Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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