Key result
Surgical unroofing of the anomalous coronary artery resolved exertional dyspnea and improved maximal exercise capacity from 105 W to 214 W at 20 months follow-up, allowing return to competitive sports.
Case Report (n=1)
No
Exertional dyspnea can be an unusual primary presentation of high-risk coronary artery anomalies in adolescent athletes, and successful surgical management can enable a safe return to competitive sports.
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Single-case success should not yet change practice; leaves open the need for prospective data on surgical unroofing in athletes with anomalous coronaries.
Coronary artery anomalies (CAA) are associated with sudden cardiac death (SCD) and the majority of those events occur during exercise. Depending on the anatomic features and severity, CAA usually provoke clinical symptoms of coronary ischemia, mainly syncope and (exertional) chest pain. Here we present a case of a female adolescent athlete with a high-risk CAA variant and an unusual clinical presentation, which delayed diagnosis 2 years after first symptoms were reported. After successful surgical management of the anomalous artery, the patient was determined eligible for competitive sports with unremarkable follow-up examinations.
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Sareban et al. (2022) conducted a case report in Coronary artery anomaly (n=1). Surgical unroofing of the intramural segment of the anomalous artery was evaluated on Exercise capacity and symptom resolution. Surgical unroofing of the anomalous coronary artery resolved exertional dyspnea and improved maximal exercise capacity from 105 W to 214 W at 20 months follow-up, allowing return to competitive sports.
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