Pediatric Cardiology

, Volume 40, Issue 1, pp 219–220 | Cite as

Endocardial Coronary Artery: A Rare Congenital Coronary Anomaly

  • Jeremy Mark SteeleEmail author
  • Kenneth G. Zahka
Case Report


Pediatric chest pain is a common reason for cardiology referral, and evaluation of exertional chest pain requires proper delineation of coronary anatomy. Congenital coronary anomalies are rare and often benign. However, certain anomalies such as intramural coronary arteries and myocardial bridges have been associated with angina, ventricular arrhythmias, and sudden cardiac death. We present a case of a 10-year-old male with exertional chest pain whose coronary anatomy could not be defined by echocardiography and further evaluation by computed tomography angiography revealed a rare congenital coronary anomaly.


Congenital heart disease Coronary artery anomaly Chest pain 


Compliance with Ethical Standards

Conflict of interest

Dr Jeremy Steele and Dr Kenneth Zahka declare that there are no conflicts of interest.

Research Involving Human and Animal Participants

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric CardiologyCincinnati Children’s HospitalCincinnatiUSA
  2. 2.Department of Pediatric CardiologyCleveland Clinic Children’sClevelandUSA

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