title: Acute myocardial infarction and syncope in an 18-year-old athlete with an abnormal origin of the left coronary artery: a case report.
abstract: We report a case of acute myocardial infarction and syncope in an 18-year-old athlete during high-performance exercise. A coronary arteriography and an angiographic computed tomography scan subsequently revealed a left coronary arterial origin from the right aortic sinus along with an intramural course of the left main stem. The patient was successfully treated with surgical unroofing of the left main stem from inside the aorta. To our knowledge, this is the first report demonstrating this type of anomaly pre- and postoperatively by use of angiographic computed tomography scan in the context of acute coronary syndrome.
authors.affiliation: Department of Cardiology, University Hospital Rigshospitalet, DK-2100 Copenhagen, Denmark. ronan@dadlnet.dk
authors.forename: Ronan Mg
authors.initials: RM
authors.lastname: Berg
authors.forename: Bente
authors.initials: B
authors.lastname: Brendorp
authors.forename: Thomas
authors.initials: T
authors.lastname: Kristensen
authors.forename: Morten
authors.initials: M
authors.lastname: Helvind
authors.forename: Steffen
authors.initials: S
authors.lastname: Helqvist