case_images: PMC4518180_01
case_images: Ventricular fibrillation as the initial rhythm at presentation.
case_images: CRIC2015-806291.001.jpg
case_images: PMC4518180_01_CRIC2015-806291.001.jpg
case_images: fig1
case_images: When emergency medical service found the patient at home, the presenting rhythm was ventricular fibrillation (Figure 1) and patient was shocked twice with reversal of spontaneous circulation in less than 4 minutes.
case_images: EKG showing sinus rhythm with right bundle branch block, left anterior fascicular block, and nonspecific ST-T wave changes.
case_images: CRIC2015-806291.002.jpg
case_images: PMC4518180_01_CRIC2015-806291.002.jpg
case_images: fig2
case_images: An electrocardiogram (EKG) showed sinus tachycardia, complete right bundle branch block (RBBB) with left anterior fascicular block (LAFB) and nonspecific ST-T wave changes (Figure 2).
case_images: Coronary angiogram showing clear coronaries and anomalous left anterior descending artery originating from the right coronary cusp. RCA: right coronary artery; LAD: left anterior descending artery; PL: posterolateral branch.
case_images: CRIC2015-806291.003.jpg
case_images: PMC4518180_01_CRIC2015-806291.003.jpg
case_images: fig3
case_images: Coronary angiogram (Figure 3) revealed nonobstructive epicardial coronaries with mildly elevated left ventricular end diastolic pressure (LVEDP) of 21 mmHg.
case_images: Cardiac coronary CAT scan demonstrating anomalous left coronary artery originating from the right coronary cusp and coursing between aorta and pulmonary artery followed by intramural course. LAD: left anterior descending artery; RCA: right coronary artery.
case_images: CRIC2015-806291.004.jpg
case_images: PMC4518180_01_CRIC2015-806291.004.jpg
case_images: fig4
case_images: Cardiac coronary CAT scan (Figure 4) was obtained that showed anomalous left anterior descending artery (LAD) originating from the right coronary sinus sharing a common ostium with the right coronary artery (RCA).