Complete neurologic recovery in an out-of-hospital cardiac arrest facilitated by initiation of therapeutic hypothermia in a young athlete with an anomalous right coronary artery

• Published in: Journal of clinical anesthesia Vol. 26; no. 3; pp. 227 - 230
• Main Authors: Tan, Michael C., MD, MPH, Coursin, Douglas B., MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2014; Elsevier; Elsevier Limited
• Subjects: Acute coronary syndromes; Anesthesia; Anesthesia & Perioperative Care; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Anomalous coronary artery; Athletes; Biological and medical sciences; Blood; Cardiac arrest; Cardiac arrhythmia; Cardiopulmonary Resuscitation; Cardiovascular disease; Catheters; Cooling; Coronary Vessel Anomalies - complications; CPR; Heart attacks; Hospitals; Humans; Hypothermia, Induced - methods; Male; Medical prognosis; Medical sciences; Out-of-Hospital Cardiac Arrest - etiology; Out-of-Hospital Cardiac Arrest - therapy; Pain Medicine; Pediatrics; Pulmonary arteries; Therapeutic hypothermia; Treatment Outcome; Young Adult; Therapeutic hypothermia; Cardiac arrest; Anomalous coronary artery; Cardiocirculatory arrest; Coronary artery; Cardiovascular disease; Athlete; Recovery; Right coronary artery; Treatment; Blood vessel; Out of hospital; Hypothermia
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2013.11.014

Abstract Therapeutic hypothermia is an accepted modality for improving neurologic outcome in patients who have sustained cardiac arrest with return of spontaneous circulation. Despite postresuscitative neuroprotection, it is uncommon to have patients who have undergone prolonged cardiopulmonary resuscitation to recover full neurologic function. An unusual case of sudden cardiac arrest in a young athlete with an anomolous right coronary artery is presented.