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Unique Association of Rare Cardiovascular Disease in an Athlete With Ventricular Arrhythmias.

Santomauro V, Contursi M, Dellegrottaglie S, Borsellino G - Transl Med UniSa (2014)

Bottom Line: Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport.The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques.Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

View Article: PubMed Central - PubMed

Affiliation: Sports Cardiology Center, "Check-Up Day-Surgery" Centro Polispecialistico, Salerno, Italy.

ABSTRACT
Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport. The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques. Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

No MeSH data available.


Related in: MedlinePlus

Thoracic CT.On the left. Volume rendering image for CT angiography of the thoracic aorta confirming that the left subclavian artery arises (white arrow) from a dilated segment of the distal arch (Kommerell’s diverticulum). Right. Maximum intensity projection (MIP) CT image of the upper thorax. Incomplete vascular ring for absence ligamentum arteriosum (black arrow). No signs of tracheal compression can be demonstrated.
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f3-tm-12-60: Thoracic CT.On the left. Volume rendering image for CT angiography of the thoracic aorta confirming that the left subclavian artery arises (white arrow) from a dilated segment of the distal arch (Kommerell’s diverticulum). Right. Maximum intensity projection (MIP) CT image of the upper thorax. Incomplete vascular ring for absence ligamentum arteriosum (black arrow). No signs of tracheal compression can be demonstrated.

Mentions: Subsequently a thoracic CT scan demonstrated the absence of esophageal and/or tracheal compression, confirming the absence of a ligamentum arteriosum to complete the vascular ring (Fig. 3).


Unique Association of Rare Cardiovascular Disease in an Athlete With Ventricular Arrhythmias.

Santomauro V, Contursi M, Dellegrottaglie S, Borsellino G - Transl Med UniSa (2014)

Thoracic CT.On the left. Volume rendering image for CT angiography of the thoracic aorta confirming that the left subclavian artery arises (white arrow) from a dilated segment of the distal arch (Kommerell’s diverticulum). Right. Maximum intensity projection (MIP) CT image of the upper thorax. Incomplete vascular ring for absence ligamentum arteriosum (black arrow). No signs of tracheal compression can be demonstrated.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592045&req=5

f3-tm-12-60: Thoracic CT.On the left. Volume rendering image for CT angiography of the thoracic aorta confirming that the left subclavian artery arises (white arrow) from a dilated segment of the distal arch (Kommerell’s diverticulum). Right. Maximum intensity projection (MIP) CT image of the upper thorax. Incomplete vascular ring for absence ligamentum arteriosum (black arrow). No signs of tracheal compression can be demonstrated.
Mentions: Subsequently a thoracic CT scan demonstrated the absence of esophageal and/or tracheal compression, confirming the absence of a ligamentum arteriosum to complete the vascular ring (Fig. 3).

Bottom Line: Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport.The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques.Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

View Article: PubMed Central - PubMed

Affiliation: Sports Cardiology Center, "Check-Up Day-Surgery" Centro Polispecialistico, Salerno, Italy.

ABSTRACT
Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport. The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques. Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

No MeSH data available.


Related in: MedlinePlus