Coexisting Congenital Left and Right Coronary Artery Anomalies: A Rare Cause of Pediatric Cardiac Arrest.

Samir Bhatia, Matthew Liava'a, Julian Ayer, Claire M Lawley

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Samir BhatiaThe Heart Centre for Children, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia. Electronic address: drbhatiasamir@gmail.com.

Matthew Liava'aThe Heart Centre for Children, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia.

Julian AyerThe Heart Centre for Children, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia.

Claire M LawleyThe Heart Centre for Children, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital left main coronary artery atresia (LMCAA) is an extremely rare anomaly associated with a high risk of myocardial ischemia and sudden cardiac arrest. CASE SUMMARY: We present the case of a 12-year-old boy who experienced a ventricular fibrillation arrest during exercise, primarily attributed to LMCAA with an anomalous right coronary artery (RCA) originating from the left aortic sinus considered as the potential contributing factor. Multimodal imaging was critical in diagnosis and surgical planning. The patient underwent successful surgical revascularization with left internal mammary artery grafting to the left anterior descending artery and unroofing of the anomalous RCA. DISCUSSION: In children presenting with out of hospital cardiac arrest, accurate imaging for coronary artery anomalies remains paramount. The diagnosis of congenital LMCAA with an anomalous RCA (with high-risk features) represents a rare but potentially treatable cause. TAKE-HOME MESSAGE: The case underscores the importance of early recognition and intervention in rare congenital coronary artery anomalies.

Indexed as

coronary circulationcoronary vessel anomalyventricular fibrillation

Identifiers

PMID41358975

DOI10.1016/j.jaccas.2025.105290

PMCPMC12925948

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