Abstract
In this chapter we describe a teenager with exertional collapse. He was found to have an aberrant left coronary artery arising from the right coronary sinus and running between the great arteries. Although this lesion is uncommon, there is a strong association with sudden cardiac death, particularly during or immediately after strenuous exercise. Diagnosis requires careful echocardiographic evaluation of the coronary arteries often supported by CT. We discuss the presentation, diagnosis and management of this lesion.
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Suggested Reading
Brown LM, Duffy CE, Mitchell C, Young L. A practical guide to pediatric coronary artery imaging with echocardiography. J Am Soc Echocardiogr. 2015. doi:10.1016/j.echo.2015.01.008.
Friedman AH, Silverman NH. Chapter 45: congenital abnormalities of coronary arteries. In: Anderson RH, Baker EJ, Penney DJ, Redington AN, Rigby MJ, Wernovsky G, editors. Paediatric cardiology. 3rd ed. Philadelphia: Elsevier; 2010.
Mery CM, Lawrence SM, Krishnamurthy R, Sexson-Tejtel SK, Carberry KE, McKenzie ED, et al. Anomalous aortic origin of a coronary artery: toward a standardized approach. Semin Thorac Cardiovasc Surg. 2014;26(2):110–22. doi:10.1053/j.semtcvs.2014.08.001.
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© 2016 Springer-Verlag London
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Ho, A.B., Gnanapragasam, J.P. (2016). The Collapsing Teenager. In: Magee, A., Till, J., Seale, A. (eds) Practical Pediatric Cardiology. Springer, London. https://doi.org/10.1007/978-1-4471-4183-9_16
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DOI: https://doi.org/10.1007/978-1-4471-4183-9_16
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4182-2
Online ISBN: 978-1-4471-4183-9
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