© 2005 by BMJ Publishing Group & British Cardiac Society
CASE REPORT
Hypoplastic coronary artery disease: report of one case
Département de cardiologie, Hôpital de la Timone, Marseille, France
Correspondence to:
Correspondence to:
Dr Alain Fraisse
Département de cardiologie, Hôpital de la Timone, 264 rue St Pierre, 13385 Marseille Cedex 05, France; alain.fraisse{at}ap-hm.fr
Hypoplastic coronary artery disease (HCAD) is a rare abnormality with a high rate of sudden death and poor outcome. HCAD was revealed by myocardial infarction in a teenager with objective evidence of silent ischaemia on myocardial scintigraphy. After four years of follow up, he suddenly collapsed during exercise and subsequently died. Although HCAD is very uncommon, it should be actively excluded in children and young adults who experience sudden cardiac death. Aggressive treatment such as implantable cardioverter-defibrillator or heart transplantation may be indicated for this rare coronary abnormality.
Keywords: congenital coronary abnormality; myocardial infarction; paediatric patients; sudden cardiac death
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Heart 2005 91: 170.
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