ArticleJACC. Case reports2026
VF Arrest at Rest in a Teenager With Anomalous Origin of Coronaries and DSG2 Variant.
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.
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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.
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9 authors.
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Abstract
backgroundSudden cardiac arrest (SCA) in adolescents is rare and often attributed to genetic or structural cardiac abnormalities. The differentials remain broad including anomalous aortic origin of a coronary artery (AAOCA). CASE SUMMARY: A 16-year-old male experienced ventricular fibrillation arrest at rest. Imaging revealed anomalous aortic origin of the right and left coronary arteries (AAOCA) with high-risk features. Genetic testing identified a sequence variation in DSG2. The patient underwent surgical unroofing and was discharged with a wearable cardioverter-defibrillator. A subcutaneous defibrillator was implanted 8 weeks later. The patient remains well without further events. DISCUSSION: This case highlights the diagnostic complexity when rare structural and potential genetic etiologies coexist, especially in the context of SCA at rest. The literature supports advanced imaging, surgical correction for AAOCA, and comprehensive genetic evaluation in pediatric SCA at rest.
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