Sense of Impending Doom: Cardiac Arrest Due to Anomalous Left Coronary Artery From the Right Pulmonary Artery
A 19-year-old female athlete with a history of anxiety and anorexia nervosa (binge-purge and overexercise, in remission) experienced escalating health-focused anxiety preceding cardiorespiratory collapse during exercise. Imaging revealed an anomalous left coronary artery originating from the right pulmonary artery, a rare variant of a typically fatal congenital anomaly. Extensive collateral circulation allowed survival until successful surgical repair, with subsequent full recovery.
Authors
- Michael A. Santos (ORCID: https://orcid.org/0000-0001-8816-7320)
- Abigail A. Donaldson (ORCID: https://orcid.org/0000-0002-0360-2061)
- Nicholas Kassis (ORCID: https://orcid.org/0000-0002-7975-0861)
- Michael K. Atalay (ORCID: https://orcid.org/0000-0003-3549-2634)
- Emily Allen (ORCID: https://orcid.org/0000-0002-2472-3292)
- Jacob Zinn
Institutions
- Brown University (US)
- Rhode Island Hospital (US)
- Miriam Hospital (US)
- Hasbro Children's Hospital (US)
Publication Details
- Journal
- Journal of Adolescent Health
- Published
- 2025-08-15
- DOI
- https://doi.org/10.1016/j.jadohealth.2025.06.013
- Primary Topic
- Coronary Artery Anomalies
- Type
- article
- Field-Weighted Citation Impact
- 0.00