Exertional Dyspnea as the Main Symptom in an Adolescent Athlete With Coronary Artery Anomaly – A Case Report

Frontiers in Cardiovascular Medicine

Peter Covi¹  Klaus Hergan²  Josef Niebauer³  Mahdi Sareban³ 

[1] Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria;University Institute of Radiology, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria;University Institute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria;

关键词: echocardiography;    exercise testing;    unroofing;    arrhythmias;    syncope;    pre-participation examination;   

DOI  :  10.3389/fcvm.2022.872608

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown