Anomalous Origin of Left Coronary Artery with Intramural Aortic Course Causing Symptoms in a Teenaged Athlete.

We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomographic angiograms showed an anomalous origin of the left coronary artery from the right sinus of Valsalva and a course through the aortic wall toward the left coronary sinus. A surgically created neo-ostium in the left coronary sinus relieved the patient's ischemia, and he resumed playing soccer after cardiac rehabilitation. PMID: 32603454 [PubMed - in process]

https://www.ncbi.nlm.nih.gov/pubmed/32603454?dopt=Abstract

Source: Texas Heart Institute Journal - March 31, 2020 Category: Cardiology Authors: Garcia-Arribas D, Olmos C, Higueras J, Marcos-Alberca P, de la Pedraja I, Garcia-Bouza M Tags: Tex Heart Inst J Source Type: research