Angina, Anomalous Coronaries, Surgical Correction, and Return to Olympic Cycling.

Figures

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  Visual Summary. A Shared Decision-Making Framework for the Management of Anomalous Coronary Arteries This graphic incorporates clinical and investigation features that help stratify risk and enable knowledge-based discussion. AAOLCA = anomalous aortic origin of the left coronary artery; ECG = electrocardiogram; CMR = cardiac magnetic resonance imaging; CTCA = computed tomography coronary angiography.

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  Figure 1. Electrical Criteria for Left Ventricular Hypertrophy With Early Repolarization Changes in the Inferolateral Leads Nonspecific ST-segment abnormality was seen in the precordial leads.

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  Figure 2. Computed Tomography Coronary Angiography 3-Dimensional Reconstructions Demonstrating Anomalous RCA Originating From the Left Coronary Cusp RCA = right coronary artery.

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  Figure 3. Computed Tomography Coronary Angiography (A) The RCA courses between the aortic root and the RVOT at the level of the pulmonary valve, with mild smooth tapering of the vessel. There is an acute takeoff angle (<45°). (B and D) Three-dimensional multiplanar reconstruction showing the RCA coursing anteriorly, passing between the aortic root and the RVOT. There is normal caliber of the mid and distal RCA beyond the proximal narrowing. (C) A cross-sectional view of the ostium of the RCA, with proximal vessel morphology showing a slit-like appearance. Ao = aortic root; LA = left atrium; LMCA = left main coronary artery; LV = left ventricle; PV = pulmonary valve; RA = right atrium; RCA = right coronary artery; RVOT = right ventricular outflow tract.