Cor Vasa 2020, 62(4):431-434 | DOI: 10.33678/cor.2020.075
Complicated course of anomalous origin of right coronary artery in the left sinus of Valsava in a professional ice hockey player. A case report
- a Department of Exercise Medicine and Cardiovascular Rehabilitation, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc
- b Department of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc
- c Department of Nuclear Medicine, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc
- d Department of Radiology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc
We present a case report of an athlete TS, 37-year-old ice hockey player with a malignant variant of anomalous right artery (AAOCA) and stenosis of the right artery. Owing to refusal to undergo cardiosurgery, a percutaneous coronary intervention (PCI) was done using a stent implantation with repetition of the procedure in one year because of stent restenosis. Four years after the first PCI, a new coronary angiogram showed 50% stenosis of the right coronary artery caused by the position of the stent. The man was indicated for aortocoronary bypass and this was carried out successfully in December 2019. The paper comments on the unusual course in an active athlete and athlete's eligibility for sports.
Keywords: Anomalous coronary artery, Athlete, Malignant variant, Stenosis
Received: June 29, 2020; Revised: July 26, 2020; Accepted: August 2, 2020; Published: September 16, 2020 Show citation
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References
- 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;35:1493-1501.
Go to original source... 
Go to PubMed... - Ong CS, Cameron DE, Jacobs ML. Surgical management of anomalous coronary arteries. Ann Cardiothorac Surg 2018;7:604-610. Go to original source... Go to PubMed...
- Krasuski RA, Magyar D, Hart S, et al. Long-term outcome and impact of surgery on adults with coronary arteries originating from the opposite coronary cusp. Circulation 2011;123:154-162. Go to original source... Go to PubMed...
- Hong LF, Luo SH, Li JJ. Percutaneous coronary intervention with anomalous origin of right coronary artery: case reports and literature review. J Geriatr Cardiol 2013;10:205-209. Go to PubMed...
- Borjesson M, Dellborg M, Niebauer J, et al. Recommendations for participation in leisure time or competitive sports in athletes-patients with coronary artery disease: a position statement from the Sports Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2019;40:13-18. Go to original source... Go to PubMed...
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