Ottaviani Giulia, Lavezzi Anna Maria, Matturri Luigi
"Lino Rossi" Research Center, and daggerInstitute of Pediatrics and Neonatology, University of Milan, Italy.
Am J Forensic Med Pathol. 2008 Dec;29(4):337-9. doi: 10.1097/PAF.0b013e3181847e29.
A 13-year-old white boy died suddenly and unexpectedly while playing soccer. This case acquires a unique interest because of the coincidence of sudden unexpected death in a 13-year-old boy, anomalous origin of the left coronary artery from the right aortic sinus of Valsalva, anomalous location of the right coronary ostium within proper aortic sinus of Valsalva, hyperacute myocardial infarction, and myocardial fibrosis. The authors are convinced that the cardiovascular evaluation of young athletes needs to be focused on the identification of individuals at high risk of sudden cardiac arrest, paying attention to suggestive symptoms and to a family history of sudden death due to cardiac arrest, particularly at an early age. In addition, enquiry should be made into the concomitant presence of a smoking habit or of passive smoke exposure.
一名13岁白人男孩在踢足球时突然意外死亡。由于该13岁男孩突然意外死亡、左冠状动脉起源于瓦尔萨尔瓦右主动脉窦异常、右冠状动脉口在瓦尔萨尔瓦正常主动脉窦内位置异常、超急性心肌梗死和心肌纤维化同时存在,此病例引发了独特的关注。作者坚信,年轻运动员的心血管评估需要着重于识别心脏骤停高风险个体,关注提示性症状以及心脏骤停导致的猝死家族史,尤其是早年发生的情况。此外,还应询问是否存在吸烟习惯或被动吸烟暴露情况。