SUDDEN CARDIAC DEATH DURING EXERCISE DUE TO AN ISOLATED MULTIPLE ANOMALY OF THE LEFT CORONARY-ARTERY IN A 12-YEAR-OLD GIRL - CLINICOPATHOLOGICAL FINDINGS

A 12-year-old girl was taken to the Virgen Macarena Universitary Hospi tal in Seville, Spain, complaining of abdominal pain, nausea, palpitat ions, and difficulty in breathing. Her school teacher informed that th e girl collapsed after a 100-m race at sports in school. Emergency res cue personnel found the patient pale, in a cold sweat, with low periph eral perfusion. Initial ECF revealed supraventricular tachycardia (150 bpm), right bundle branch block and left anterior hemiblock that, eve ntually, progressed to full cardiac arrest. At autopsy, an isolated mu ltiple congenital anomaly of the left coronary artery was found (initi al segment anomaly; course anomaly and tunneled coronary artery anomal y). In our opinion, this appears to be the first reported case of exer cise-related sudden cardiac death, due to an isolated multiple congeni tal anomaly of the left coronary artery (at the origin, on the course and at the termination).