Case Report: Recurrent Cardiogenic Shock Caused by Inter-arterial Left Coronary Artery Originating from the Right Coronary Sinus, Successfully Rescued by Mechanical Circulatory Support

Overview

Journal Front Cardiovasc Med

Date 2025 Jan 20

PMID 39830007

Authors

Tietuo Jin

Rui Wang

Liang Dong

Yvhang Lv

Affiliations

Soon will be listed here.

Abstract

A young female patient suffered cardiogenic shock after undergoing surgery for an ectopic pregnancy. Coronary artery computed tomography angiography (CTA) revealed a left main artery (LM) originating from the right coronary sinus and traveling between the aorta and pulmonary artery. We successfully resuscitated the patient with mechanical circulatory support using veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and an intra-aortic balloon pump (IABP). The patient subsequently underwent surgery thereafter. When sudden cardiogenic shock occurs in a young patient, it is important to be vigilant for anomalous aortic origin of a coronary artery (AAOCA).

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