Heart Arrest Revealing a Killer Coronary Artery

Anomalous origin of the left main coronary artery is a congenital heart defect in which it arises from the right coronary sinus. This anomaly carries a high risk of sudden death. The diagnosis can be made by ultrasound examination. Silent myocardial ischemia must be sought. Various surgical techniques have been described. We report the case of a child who presented with cardiac arrest occurring at rest, recovered by external cardiac massage and which has benefited from a surgical intervention with a good evolution.