Sense of Impending Doom: Cardiac Arrest due to Anomalous Left Coronary Artery From the Right Pulmonary Artery

J Adolesc Health. 2025 Aug 14:S1054-139X(25)00264-2. doi: 10.1016/j.jadohealth.2025.06.013. Online ahead of print.

ABSTRACT

A 19-year-old female athlete with a history of anxiety and anorexia nervosa (binge-purge and overexercise, in remission) experienced escalating health-focused anxiety preceding cardiorespiratory collapse during exercise. Imaging revealed an anomalous left coronary artery originating from the right pulmonary artery, a rare variant of a typically fatal congenital anomaly. Extensive collateral circulation allowed survival until successful surgical repair, with subsequent full recovery.

PMID:40815248 | DOI:10.1016/j.jadohealth.2025.06.013