Cardiac arrest due to critical stenosis of a bicuspid aortic valve mimicking left main coronary artery occlusion on ECG

BMJ Case Rep. 2018 Oct 3:2018:bcr2018225307. doi: 10.1136/bcr-2018-225307.

Abstract

A 49-year-old man presented to the emergency room after a cardiac arrest. On arrival, the patient's ECG showed ST-segment elevations in the aVR and anteroseptal leads with diffuse ST depression suggestive of left main coronary artery occlusion. Subsequent coronary catheterisation showed normal coronaries but revealed severe stenosis of his bicuspid aortic valve. A surgical replacement of the aortic valve was performed, and the patient recovered successfully.

Keywords: ischaemic heart disease; valvar diseases.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / surgery
  • Cardiopulmonary Resuscitation / methods
  • Constriction, Pathologic / pathology
  • Coronary Occlusion / diagnostic imaging
  • Coronary Vessels / pathology*
  • Diagnosis, Differential
  • Heart Arrest / etiology*
  • Heart Arrest / therapy
  • Humans
  • Middle Aged
  • ST Elevation Myocardial Infarction / physiopathology
  • Treatment Outcome