DOI QR코드

DOI QR Code

Repeated Aborted Sudden Cardiac Death with Long QT Syndrome in a Patient with Anomalous Origin of the Right Coronary Artery from the Left Coronary Cusp

  • Park, Yae Min (Cardiology Division, Gachon University Gil Hospital) ;
  • Kim, Su Ji (Cardiology Division, Gachon University Gil Hospital) ;
  • Park, Chul-Hyun (Thoracic and Cardiovascular Surgery Division, Gachon University Gil Hospital) ;
  • Kang, Woong Chol (Cardiology Division, Gachon University Gil Hospital) ;
  • Shin, Mi-Seung (Cardiology Division, Gachon University Gil Hospital) ;
  • Koh, Kwang Kon (Cardiology Division, Gachon University Gil Hospital) ;
  • Choi, In Suck (Cardiology Division, Gachon University Gil Hospital)
  • Received : 2013.07.18
  • Accepted : 2013.08.22
  • Published : 2013.12.30

Abstract

A 15-year-old female with a prior history of aborted cardiac death and surgical correction of anomalous origin of the right coronary artery (RCA) presented with polymorphic ventricular tachycardia. Her electrocardiogram after defibrillation was suggestive of congenital long QT syndrome (LQTS). The patient was treated with a ${\beta}$-blocker and remained free from ventricular arrhythmia during the follow-up of more than 6 months. Here, we present the case of a young female with repeated aborted cardiac death accompanied by anomalous origin of the RCA and congenital LQTS for the first time.

Keywords

References

  1. El-Sherif N, Chinushi M, Caref EB, Restivo M. Electrophysiological mechanism of the characteristic electrocardiographic morphology of torsade de pointes tachyarrhythmias in the long-QT syndrome: detailed analysis of ventricular tridimensional activation patterns. Circulation 1997;96:4392-9. https://doi.org/10.1161/01.CIR.96.12.4392
  2. Tester DJ, Will ML, Haglund CM, Ackerman MJ. Effect of clinical phenotype on yield of long QT syndrome genetic testing. J Am Coll Cardiol 2006;47:764-8. https://doi.org/10.1016/j.jacc.2005.09.056
  3. Angelini P. Coronary artery anomalies--current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex Heart Inst J 2002;29:271-8.
  4. Shimizu W, Antzelevitch C. Sodium channel block with mexiletine is effective in reducing dispersion of repolarization and preventing torsade des pointes in LQT2 and LQT3 models of the long-QT syndrome. Circulation 1997;96:2038-47. https://doi.org/10.1161/01.CIR.96.6.2038
  5. Kawabata M, Hirao K, Takeshi S, et al. Torsades de pointes related to transient marked QT prolongation following successful emergent percutaneous coronary intervention for acute coronary syndrome. J Electrocardiol 2008;41:117-22. https://doi.org/10.1016/j.jelectrocard.2007.09.009
  6. Moreno FL, Villanueva T, Karagounis LA, Anderson JL. Reduction in QT interval dispersion by successful thrombolytic therapy in acute myocardial infarction. TEAM-2 Study Investigators. Circulation 1994;90: 94-100. https://doi.org/10.1161/01.CIR.90.1.94
  7. Chauhan VS, Tang AS. Dynamic changes of QT interval and QT dispersion in non-Q-wave and Q-wave myocardial infarction. J Electrocardiol 2001;34:109-17. https://doi.org/10.1054/jelc.2001.23116

Cited by

  1. Refractory ventricular fibrillations after surgical repair of atrial septal defects in a patient with CACNA1C gene mutation - case report vol.12, pp.None, 2017, https://doi.org/10.1186/s13019-017-0683-4