Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report

<p>Abstract</p> <p>Background</p> <p>Left coronary artery arising from the right sinus of Valsalva is an uncommon congenital coro-nary anomaly that seems to be associated with sudden death in young patients.</p> <p>Case presentation</p> <p>We rep...

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Main Authors: Huber Bruno C, von Ziegler Franz, Bamberg Fabian, Franz Wolfgang-Michael, Becker Alexander
Format: Article
Language:English
Published: BMC 2011-08-01
Series:BMC Cardiovascular Disorders
Online Access:http://www.biomedcentral.com/1471-2261/11/49
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author Huber Bruno C
von Ziegler Franz
Bamberg Fabian
Franz Wolfgang-Michael
Becker Alexander
author_facet Huber Bruno C
von Ziegler Franz
Bamberg Fabian
Franz Wolfgang-Michael
Becker Alexander
author_sort Huber Bruno C
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Left coronary artery arising from the right sinus of Valsalva is an uncommon congenital coro-nary anomaly that seems to be associated with sudden death in young patients.</p> <p>Case presentation</p> <p>We report a case of cardiac arrest in a 59-year-old patient after sexual intercourse and Silde-nafil ingestion. A coronary arteriography and an angiographic computed tomography scan subsequently revealed a LCA origin from the right aortic sinus along with an intramural course of the left main stem. In addition a distal stenosis of the right coronary artery was detected. After successful resuscitation without neurological deficits coronary artery bypass surgery was performed.</p> <p>Conclusion</p> <p>To our knowledge, this is the first report demonstrating sudden cardiac arrest associated with Sildenafil ingestion in a patient with this type of coronary anomaly. The question arises, whether a cardiac screening is necessary before a Sildenafil therapy is initiated.</p>
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spelling doaj.art-4ea60af1cdd04aec9123014ce1824f6e2022-12-22T02:59:36ZengBMCBMC Cardiovascular Disorders1471-22612011-08-011114910.1186/1471-2261-11-49Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case reportHuber Bruno Cvon Ziegler FranzBamberg FabianFranz Wolfgang-MichaelBecker Alexander<p>Abstract</p> <p>Background</p> <p>Left coronary artery arising from the right sinus of Valsalva is an uncommon congenital coro-nary anomaly that seems to be associated with sudden death in young patients.</p> <p>Case presentation</p> <p>We report a case of cardiac arrest in a 59-year-old patient after sexual intercourse and Silde-nafil ingestion. A coronary arteriography and an angiographic computed tomography scan subsequently revealed a LCA origin from the right aortic sinus along with an intramural course of the left main stem. In addition a distal stenosis of the right coronary artery was detected. After successful resuscitation without neurological deficits coronary artery bypass surgery was performed.</p> <p>Conclusion</p> <p>To our knowledge, this is the first report demonstrating sudden cardiac arrest associated with Sildenafil ingestion in a patient with this type of coronary anomaly. The question arises, whether a cardiac screening is necessary before a Sildenafil therapy is initiated.</p>http://www.biomedcentral.com/1471-2261/11/49
spellingShingle Huber Bruno C
von Ziegler Franz
Bamberg Fabian
Franz Wolfgang-Michael
Becker Alexander
Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
BMC Cardiovascular Disorders
title Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
title_full Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
title_fullStr Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
title_full_unstemmed Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
title_short Cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery: case report
title_sort cardiac arrest associated with sildenafil ingestion in a patient with an abnormal origin of the left coronary artery case report
url http://www.biomedcentral.com/1471-2261/11/49
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