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Occlusion of left main coronary artery presenting with ventricular fibrillation in teenagers: an unrecognised cause of sudden death?

Published online by Cambridge University Press:  14 July 2020

Mayme Marshall*
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
Seshadri Balaji
Affiliation:
Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA
*
Author for correspondence: Mayme Marshall, MD, Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR97239, USA. Tel: +1-509-981-6286. E-mail: [email protected]

Abstract

In young patients with unexplained ventricular fibrillation, coronary occlusion may be missed by echocardiogram and misinterpreted by CT. We report two patients presenting with ventricular fibrillation and initially negative workup, later identified to have occlusion of left main coronary artery. We demonstrate the importance of angiography to rule out coronary occlusion in patients with unexplained ventricular fibrillation.

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

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