PT - JOURNAL ARTICLE AU - Margaret M Samyn AU - Todd M Gudausky AU - Joshua R Kovach AU - Ronald K Woods TI - Cardiac arrest in a healthy child due to paradoxical embolus across a previously unrecognised sinus venosus defect AID - 10.1136/bcr-2019-230135 DP - 2019 Dec 01 TA - BMJ Case Reports PG - e230135 VI - 12 IP - 12 4099 - http://casereports.bmj.com/content/12/12/e230135.short 4100 - http://casereports.bmj.com/content/12/12/e230135.full SO - BMJ Case Reports2019 Dec 01; 12 AB - A previously healthy, preadolescent female suffered an unwitnessed cardiac arrest with prompt return of circulation following bystander initiated resuscitation. Workup demonstrated the cause of her cardiac arrest to be distal left anterior descending coronary artery occlusion with small apical left ventricular transmural myocardial infarction, from a paradoxical embolus traversing a previously undiagnosed large sinus venous defect. This case demonstrates the value of cardiac magnetic resonance imaging may bring to the diagnosis of the pathophysiology leading to cardiac arrest.