Key result
Surgical correction of anomalous left coronary artery yields no symptom recurrence at two years.
Why the study?
Does surgical correction prevent symptom recurrence in a young athlete with anomalous origin of the left coronary artery?
Case Report (n=1)
Does surgical correction prevent symptom recurrence in a young athlete with anomalous origin of the left coronary artery?
Surgical correction of an anomalous origin of the left coronary artery from the right coronary sinus successfully prevented symptom recurrence at 2 years in a young athlete.
May support surgical repair in anomalous coronary origin; leaves open need for controlled studies in athletes.
Congenital anomalies of coronary arteries may precipitate sudden death in young athletes. We describe the case of a 14-year-old soccer player who developed chest pain and syncope during physical exertion, as the first manifestation of an abnormal aortic origin of the left coronary artery from the right coronary sinus. Correct identification by transthoracic echocardiography and confirmation by coronary angiography were made. Two years after the successful surgical correction, the boy had no recurrence of symptoms.
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Bria et al. (2008) conducted a case report in Anomalous origin of the left coronary artery from the right coronary sinus (n=1). Surgical correction was evaluated on Recurrence of symptoms. Surgical correction of an anomalous origin of the left coronary artery in a 14-year-old boy resulted in no recurrence of symptoms at 2 years follow-up.
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