Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Tietuo Jin, Rui Wang, Liang Dong, Yvhang Lv
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1466524/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850031641956712448
author Tietuo Jin
Rui Wang
Liang Dong
Yvhang Lv
author_facet Tietuo Jin
Rui Wang
Liang Dong
Yvhang Lv
author_sort Tietuo Jin
collection DOAJ
description 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).
format Article
id doaj-art-a553fda73081423498bbd4a08ecfe5a8
institution DOAJ
issn 2297-055X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cardiovascular Medicine
spelling doaj-art-a553fda73081423498bbd4a08ecfe5a82025-08-20T02:58:55ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14665241466524Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory supportTietuo Jin0Rui Wang1Liang Dong2Yvhang Lv3Department of Intensive Care Medicine, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaDepartment of Dermatology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaDepartment of Intensive Care Medicine, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaDepartment of Intensive Care Medicine, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaA 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).https://www.frontiersin.org/articles/10.3389/fcvm.2024.1466524/fullVA-ECMOIABPcardiogenic shockAAOCAcase report
spellingShingle Tietuo Jin
Rui Wang
Liang Dong
Yvhang Lv
Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
Frontiers in Cardiovascular Medicine
VA-ECMO
IABP
cardiogenic shock
AAOCA
case report
title Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
title_full Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
title_fullStr Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
title_full_unstemmed Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
title_short Case Report: Recurrent cardiogenic shock caused by inter-arterial left coronary artery originating from the right coronary sinus, successfully rescued by mechanical circulatory support
title_sort case report recurrent cardiogenic shock caused by inter arterial left coronary artery originating from the right coronary sinus successfully rescued by mechanical circulatory support
topic VA-ECMO
IABP
cardiogenic shock
AAOCA
case report
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1466524/full
work_keys_str_mv AT tietuojin casereportrecurrentcardiogenicshockcausedbyinterarterialleftcoronaryarteryoriginatingfromtherightcoronarysinussuccessfullyrescuedbymechanicalcirculatorysupport
AT ruiwang casereportrecurrentcardiogenicshockcausedbyinterarterialleftcoronaryarteryoriginatingfromtherightcoronarysinussuccessfullyrescuedbymechanicalcirculatorysupport
AT liangdong casereportrecurrentcardiogenicshockcausedbyinterarterialleftcoronaryarteryoriginatingfromtherightcoronarysinussuccessfullyrescuedbymechanicalcirculatorysupport
AT yvhanglv casereportrecurrentcardiogenicshockcausedbyinterarterialleftcoronaryarteryoriginatingfromtherightcoronarysinussuccessfullyrescuedbymechanicalcirculatorysupport