Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain.
Department of Radiology, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain.
Tex Heart Inst J. 2020 Apr 1;47(2):165-167. doi: 10.14503/THIJ-16-5771.
Anomalous origin of the left coronary artery from the opposite sinus of Valsalva with an intramural aortic course is a rare congenital anomaly with a poor prognosis. We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomographic angiograms showed an anomalous origin of the left coronary artery from the right sinus of Valsalva and a course through the aortic wall toward the left coronary sinus. A surgically created neo-ostium in the left coronary sinus relieved the patient's ischemia, and he resumed playing soccer after cardiac rehabilitation.
左冠状动脉起源于主动脉窦的异常是一种罕见的先天性畸形，预后不良。我们报告了一例 14 岁足球运动员在冲刺时短暂失去意识的病例。他有运动性胸痛、晕厥、心电图缺血改变和心肌肌钙蛋白水平升高。计算机断层血管造影显示左冠状动脉异常起源于右主动脉窦，并穿过主动脉壁向左侧冠状动脉窦走行。在左侧冠状动脉窦内创建一个新的开口缓解了患者的缺血，他在心脏康复后恢复了足球运动。
