Cardiac Arrest in a Softball Player Following a Collision: Catching the Correct Diagnosis

Bradley S Lander; Robert S Zilinyi; Andrew J Einstein; Jay S Leb; Marlon S Rosenbaum; Emile A Bacha; Blake Sampson; Sonia Tolani

doi:10.1016/j.jaccas.2022.03.015

Cardiac Arrest in a Softball Player Following a Collision: Catching the Correct Diagnosis

JACC Case Rep. 2022 Sep 7;4(17):1070-1073. doi: 10.1016/j.jaccas.2022.03.015.

Authors

Bradley S Lander¹, Robert S Zilinyi¹, Andrew J Einstein^{1

2}, Jay S Leb², Marlon S Rosenbaum¹, Emile A Bacha³, Blake Sampson², Sonia Tolani¹

Affiliations

¹ Seymour, Paul, and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center-New York-Presbyterian Hospital, New York, New York, USA.
² Department of Radiology, Columbia University Irving Medical Center-New York-Presbyterian Hospital, New York, New York, USA.
³ Division of Cardiothoracic Surgery, Department of Surgery, Columbia University Irving Medical Center-New York-Presbyterian Hospital, New York, New York, USA.

Abstract

Commotio cordis is a rare cause of sudden cardiac arrest from blunt chest trauma; however, it is a diagnosis of exclusion. We present a case of sudden cardiac arrest in a collegiate athlete initially attributed to commotio cordis but in whom further history and workup revealed another rare condition. (Level of Difficulty: Advanced.).

Keywords: ALCAPA, anomalous left coronary artery from the pulmonary artery; CCTA, coronary computed tomographic angiogram; ECG, electrocardiogram; LCA, left coronary artery; LVEF, left ventricular ejection fraction; LVH, left ventricular hypertrophy; PA, pulmonary artery; RCA, right coronary artery; SCA, sudden cardiac arrest; TTE, transthoracic echocardiogram; congenital heart defect; coronary vessel anomaly; exercise; sports cardiology; sudden cardiac arrest; ventricular fibrillation.

Publication types

Case Reports