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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Bibliographic Details
Published in:Case reports in pediatrics 2024, Vol.2024 (1), p.6390066
Main Authors: Ifuku, Toshinobu, Nakatani, Keigo, Ueno, Kentaro, Yamashita, Naoto, Imoto, Yutaka
Format: Article
Language:English
Subjects:
Asymptomatic
Blood tests
Cardiac arrhythmia
Cardiac stress tests
Case Report
Case reports
Congenital diseases
Coronary vessels
Electrocardiography
Fainting
Heart surgery
Ischemia
Morphology
Pediatrics
Sinuses
Soccer
Teenagers
Veins & arteries
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Summary: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.
ISSN:2090-6803
2090-6811
DOI:10.1155/2024/6390066