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

Left coronary artery arising from the right sinus of Valsalva is an uncommon congenital coronary anomaly that seems to be associated with sudden death in young patients. We report a case of cardiac arrest in a 59-year-old patient after sexual intercourse and Sildenafil ingestion. A coronary arteriog...

Full description

Saved in:
Bibliographic Details
Published in:BMC cardiovascular disorders 2011-08, Vol.11 (1), p.49-49, Article 49
Main Authors: Huber, Bruno C, von Ziegler, Franz, Bamberg, Fabian, Franz, Wolfgang-Michael, Becker, Alexander
Format: Article
Language:English
Subjects:
Abnormalities
Cardiac arrest
Case Report
Complications and side effects
Coronary arteries
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
Heart
Heart Arrest - chemically induced
Heart Arrest - diagnosis
Heart Arrest - etiology
Humans
Male
Middle Aged
Piperazines - adverse effects
Purines - adverse effects
Risk factors
Sildenafil
Sildenafil Citrate
Sulfones - adverse effects
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Left coronary artery arising from the right sinus of Valsalva is an uncommon congenital coronary anomaly that seems to be associated with sudden death in young patients. We report a case of cardiac arrest in a 59-year-old patient after sexual intercourse and Sildenafil 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. 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.
ISSN:1471-2261
1471-2261
DOI:10.1186/1471-2261-11-49