Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope
Background. Syncope is a common symptom in children, many of which are benign and do not require treatment. Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital malformation but can be a risk for serious cardiovascular events, including sudden death as well as cardiogenic syncop...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2024/6390066 |
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| _version_ | 1849469051756085248 |
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| author | Toshinobu Ifuku Keigo Nakatani Kentaro Ueno Naoto Yamashita Yutaka Imoto |
| author_facet | Toshinobu Ifuku Keigo Nakatani Kentaro Ueno Naoto Yamashita Yutaka Imoto |
| author_sort | Toshinobu Ifuku |
| collection | DOAJ |
| description | Background. Syncope is a common symptom in children, many of which are benign and do not require treatment. Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital malformation but can be a risk for serious cardiovascular events, including sudden death as well as cardiogenic syncope. Case Report. We describe the case of a 14-year-old boy who suffered an initial syncope and afebrile seizure during a soccer game. A detailed medical history and imaging studies led to the diagnosis of the anomalous aortic origin of the left main coronary artery with an intramural course (AAOLCA-IM). Conclusion. Symptomatic AAOLCA-IM has the highest risk of sudden death among AAOCA, and surgical repair may be performed. Onset during exercise or preceding chest symptoms are suspicious signs of cardiogenic syncope and should be considered for cardiovascular imaging evaluation. |
| format | Article |
| id | doaj-art-fed14dabaf4c461cbb794ed247611ac4 |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-fed14dabaf4c461cbb794ed247611ac42025-08-20T03:25:39ZengWileyCase Reports in Pediatrics2090-68112024-01-01202410.1155/2024/6390066Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional SyncopeToshinobu Ifuku0Keigo Nakatani1Kentaro Ueno2Naoto Yamashita3Yutaka Imoto4Department of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of Cardiovascular and Gastroenterological SurgeryBackground. Syncope is a common symptom in children, many of which are benign and do not require treatment. Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital malformation but can be a risk for serious cardiovascular events, including sudden death as well as cardiogenic syncope. Case Report. We describe the case of a 14-year-old boy who suffered an initial syncope and afebrile seizure during a soccer game. A detailed medical history and imaging studies led to the diagnosis of the anomalous aortic origin of the left main coronary artery with an intramural course (AAOLCA-IM). Conclusion. Symptomatic AAOLCA-IM has the highest risk of sudden death among AAOCA, and surgical repair may be performed. Onset during exercise or preceding chest symptoms are suspicious signs of cardiogenic syncope and should be considered for cardiovascular imaging evaluation.http://dx.doi.org/10.1155/2024/6390066 |
| spellingShingle | Toshinobu Ifuku Keigo Nakatani Kentaro Ueno Naoto Yamashita Yutaka Imoto Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope Case Reports in Pediatrics |
| title | Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope |
| title_full | Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope |
| title_fullStr | Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope |
| title_full_unstemmed | Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope |
| title_short | Fatal Coronary Artery Anomaly Concealed in Young Athletes with Exertional Syncope |
| title_sort | fatal coronary artery anomaly concealed in young athletes with exertional syncope |
| url | http://dx.doi.org/10.1155/2024/6390066 |
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