{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:47Z","timestamp":1731043427293,"version":"3.28.0"},"reference-count":8,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.14503\/thij-16-5771","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T20:00:30Z","timestamp":1593547230000},"page":"165-167","source":"Crossref","is-referenced-by-count":2,"title":["Anomalous Origin of Left Coronary Artery with Intramural Aortic Course Causing Symptoms in a Teenaged Athlete"],"prefix":"10.14503","volume":"47","author":[{"given":"Daniel","family":"Garcia-Arribas","sequence":"first","affiliation":[{"name":"Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Olmos","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Higueras","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Marcos-Alberca","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1igo","family":"de la Pedraja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Garcia-Bouza","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"2","key":"i1526-6702-47-2-165-b1","series-title":"J Am Coll Cardiol","first-page":"593","article-title":"Major coronary artery anomalies in a pediatric population: incidence and clinical importance","volume":"37","year":"2001","unstructured":"Davis\n              JA,\n            \n            \n              Cecchin\n              F,\n            \n            \n              Jones\n              TK,\n            \n            \n              Portman\n              MA.\n            \n          \n          Major coronary artery anomalies in a pediatric population: incidence and clinical importance.\n\t\t\t\t\tJ Am Coll Cardiol2001;37(2):593\u20137."},{"key":"i1526-6702-47-2-165-b2","series-title":"Coronary artery anomalies: a comprehensive approach","first-page":"27","article-title":"Normal and anomalous coronary arteries in humans","year":"1999","unstructured":"Angelini\n              P,\n            \n            \n              Villason\n              S,\n            \n            \n              Chan\n              AV\n              Jr,\n            \n            \n              Diez\n              JG.\n            \n          \n          Normal and anomalous coronary arteries in humans.\n\t\t\t\t\tIn:AngeliniP,editor.Coronary artery anomalies: a comprehensive approach.\n\t\t\t\t\tPhiladelphia:\n\t\t\t\t\tLippincott Williams & Wilkins;\n\t\t\t\t\t1999. p.\n\t\t\t\t\t27\u2013150."},{"issue":"10","key":"i1526-6702-47-2-165-b3","series-title":"Circulation","first-page":"1296","article-title":"Coronary artery anomalies: an entity in search of an identity","volume":"115","year":"2007","unstructured":"Angelini\n              P.\n            \n          \n          Coronary artery anomalies: an entity in search of an identity.\n\t\t\t\t\tCirculation2007;115(10):1296\u2013305."},{"issue":"2","key":"i1526-6702-47-2-165-b4","series-title":"Catheter Cardiovasc Interv","first-page":"199","article-title":"Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty","volume":"86","year":"2015","unstructured":"Angelini\n              P,\n            \n            \n              Uribe\n              C,\n            \n            \n              Monge\n              J,\n            \n            \n              Tobis\n              JM,\n            \n            \n              Elayda\n              MA,\n            \n            \n              Willerson\n              JT.\n            \n          \n          Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty.\n\t\t\t\t\tCatheter Cardiovasc Interv2015;86(2):199\u2013208."},{"issue":"2","key":"i1526-6702-47-2-165-b5","series-title":"Catheter Cardiovasc Interv","first-page":"313","article-title":"Anatomic spectrum of left coronary artery anomalies and associated mechanisms of coronary insufficiency","volume":"92","year":"2018","unstructured":"Angelini\n              P,\n            \n            \n              Uribe\n              C.\n            \n          \n          Anatomic spectrum of left coronary artery anomalies and associated mechanisms of coronary insufficiency.\n\t\t\t\t\tCatheter Cardiovasc Interv2018;92(2):313\u201321."},{"issue":"11","key":"i1526-6702-47-2-165-b6","series-title":"Ann Intern Med","first-page":"829","article-title":"Sudden death in young adults: a 25-year review of autopsies in military recruits","volume":"141","year":"2004","unstructured":"Eckart\n              RE,\n            \n            \n              Scoville\n              SL,\n            \n            \n              Campbell\n              CL,\n            \n            \n              Shry\n              EA,\n            \n            \n              Stajduhar\n              KC,\n            \n            \n              Potter\n              RN,\n            \n          \n          et al.\n          Sudden death in young adults: a 25-year review of autopsies in military recruits.\n\t\t\t\t\tAnn Intern Med2004;141(11):829\u201334."},{"issue":"1","key":"i1526-6702-47-2-165-b7","series-title":"BMC Cardiovasc Disord","first-page":"186","article-title":"Successful percutaneous coronary intervention in the setting of an aberrant left coronary artery arising from the right coronary cusp in a patient with acute coronary syndrome: a case report","volume":"17","year":"2017","unstructured":"Lee\n              JH,\n            \n            \n              Park\n              JS.\n            \n          \n          Successful percutaneous coronary intervention in the setting of an aberrant left coronary artery arising from the right coronary cusp in a patient with acute coronary syndrome: a case report.\n\t\t\t\t\tBMC Cardiovasc Disord2017;17(1):186."},{"issue":"1","key":"i1526-6702-47-2-165-b8","series-title":"Int J Cardiol","first-page":"137","article-title":"Primary stenting of the left main coronary artery with anomalous origin from the right sinus of Valsalva","volume":"114","year":"2007","unstructured":"Nef\n              HM,\n            \n            \n              M\u00f6llmann\n              H,\n            \n            \n              M\u00f6llmann\n              S,\n            \n            \n              Dill\n              T,\n            \n            \n              Hamm\n              CW,\n            \n            \n              Els\u00e4sser\n              A.\n            \n          \n          Primary stenting of the left main coronary artery with anomalous origin from the right sinus of Valsalva.\n\t\t\t\t\tInt J Cardiol2007;114(1):137\u20138."}],"container-title":["Texas Heart Institute 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