Sudden cardiac death and coronary artery anomalies in the athletes: A narrative review

Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.

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Novel Imaging of Coronary Artery Anomalies to Assess Their Prevalence, the Causes of Clinical Symptoms, and the Risk of Sudden Cardiac Death

Circulation Cardiovascular Imaging ◽

10.1161/circimaging.113.000278 ◽

2014 ◽

Vol 7 (4) ◽

pp. 747-754 ◽

Cited By ~ 47

Author(s):

Paolo Angelini

Keyword(s):

Coronary Artery ◽

Sudden Cardiac Death ◽

Cardiac Death ◽

Clinical Symptoms ◽

Coronary Artery Anomalies

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Coronary artery anomalies and juvenile sudden cardiac death

Forensic Science International ◽

10.1016/j.forsciint.2007.04.163 ◽

2007 ◽

Vol 169 ◽

pp. S4

Author(s):

A. Argo ◽

E. Maresi ◽

V. Triolo ◽

S. Zerbo ◽

G. Bono ◽

...

Keyword(s):

Coronary Artery ◽

Sudden Cardiac Death ◽

Cardiac Death ◽

Coronary Artery Anomalies

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Congenital Coronary Artery Anomalies and Sudden Cardiac Death

Pediatric Cardiology ◽

10.1007/s00246-021-02713-y ◽

2021 ◽

Author(s):

Marco Schiavone ◽

Cecilia Gobbi ◽

Alessio Gasperetti ◽

Andrea Zuffi ◽

Giovanni Battista Forleo

Keyword(s):

Coronary Artery ◽

Sudden Cardiac Death ◽

Cardiac Death ◽

Coronary Artery Anomalies ◽

Congenital Coronary Artery Anomalies

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Sudden cardiac death

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0406194a ◽

2004 ◽

Vol 132 (5-6) ◽

pp. 194-197 ◽

Cited By ~ 1

Author(s):

Aleksandra Arandjelovic ◽

Sinisa Pavlovic ◽

Sanja Mazic ◽

Branimir Aleksandric

Keyword(s):

Coronary Artery ◽

Sudden Cardiac Death ◽

Sports Medicine ◽

Cardiac Death ◽

Young Athlete ◽

Heart Association ◽

Coronary Artery Anomalies ◽

Public Attention ◽

Tragic Event ◽

Artery Disease

Sudden cardiac death in an athlete is rare and tragic event. An athlete's death draws high public attention given that athletes are considered the healthiest category of society. The vast majority of sudden cardiac death in young athletes is due to congenital cardiac malformations such as hypertrophie cardiomyopathy and various coronary artery anomalies. In athletes over age 35, the usual cause of sudden cardiac death is coronary artery disease. With each tragic death of a young athlete, there is a question why this tragedy has not been prevented. The American College of Sports Medicine and the American Heart Association recommend that a pre-participation exam should include a complete cardiovascular history and physical examination.

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