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Left coronary artery atresia in the young: long-term follow-up without exercise restriction

Part of: Cardiac Morphology

Published online by Cambridge University Press:  14 November 2019

Silvana Molossi  and
Tam Doan Open the ORCID record for Tam Doan [Opens in a new window]
Silvana Molossi*
Affiliation:
Coronary Anomalies Program, Texas Children’s Hospital, Houston, TX, USA The Lillie Frank Abercrombie Section of Cardiology, Texas Children’s Hospital, Houston, TX, USA Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
Tam Doan
Affiliation:
Coronary Anomalies Program, Texas Children’s Hospital, Houston, TX, USA The Lillie Frank Abercrombie Section of Cardiology, Texas Children’s Hospital, Houston, TX, USA Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
*
Author for correspondence: S. Molossi, MD, PhD, Section of Cardiology, Texas Children’s Hospital, 6651 Main Street, MC E1920, Houston, TX 77030-2303, USA. Tel: (832) 826-5600; Fax: (832) 826-4290; E-mail: [email protected]
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Abstract

An 11-year-old male was presented with exertional chest pain and was diagnosed with atresia of the left main coronary artery. A stress nuclear perfusion imaging was negative at initial presentation, and a vasodilator stress cardiac MRI was again negative 5 years later. The patient has fully participated in competitive sports for 6 years with no occurrence of cardiac events.

Keywords

Left coronary artery atresiacoronary artery anomalysudden cardiac death
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 12 , December 2019 , pp. 1543 - 1545
Copyright
© Cambridge University Press 2019 

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References

Maron, BJ Haas, TS Ahluwalia, A Murphy, CJ Garberich, RF. Demographics and epidemiology of sudden deaths in young competitive athletes: from the United States National Registry. Am J Med 2016; 129: 1170–1177. https://linkinghub.elsevier.com/retrieve/pii/S0002934316302881. CrossRefGoogle ScholarPubMed
Angelini, P. Novel imaging of coronary artery anomalies to assess their prevalence, the causes of clinical symptoms, and the risk of sudden cardiac death. Circ Cardiovasc Imaging 2014; 7: 747–754. https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.113.000278. CrossRefGoogle ScholarPubMed
Basso, C Maron, BJ Corrado, D Thiene, G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000; 35: 1493–501. http://www.ncbi.nlm.nih.gov/pubmed/10807452. CrossRefGoogle ScholarPubMed
Angelini, P Velasco, JA Flamm, S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002; 105: 2449–2454.CrossRefGoogle ScholarPubMed
Yajima, S Toda, K Nishi, H Yoshioka, D Nakamura, T Miyagawa, S. Redo coronary bypass grafting for congenital left main coronary atresia : a case report. J Cardiothorac Surg 2017; 12: 10–13.CrossRefGoogle ScholarPubMed
Sathanandam, S Kumar, TKS Boston, U Facs, CJK. Surgical management of simultaneous left coronary atresia and anomalous right coronary artery origin. Ann Thorac Surg 2017; 103: e513–e515. http://dx.doi.org/10.1016/j.athoracsur.2017.01.056.CrossRefGoogle ScholarPubMed
Pandya, NR Venugopal, P Wildschut, J Alphonso, N. Three’s a Crowd-A unique combination of coronary artery atresia, fistula, and stenosis: multiple congenital coronary artery anomaly. World J Pediatr Congenit Heart Surg 2018; 1–4. https://doi.org/10.1177/2150135118757990.CrossRefGoogle Scholar
Tomanek, R Angelini, P. Embryology of coronary arteries and anatomy/pathophysiology of coronary anomalies. A comprehensive update. Int J Cardiol 2018; 281: 28–34. https://doi.org/10.1016/j.ijcard.2018.11.135.CrossRefGoogle ScholarPubMed