Combination of anatomic and perfusion imaging for decision making in a professional soccer player with giant coronary artery to left ventricle fistula.

摘要

Case. A 24-year-old professional level male soccer player underwent systematic cardiovascular evaluation required by the French Soccer Federation, as recommended by the guidelines for competitive sports.1 He had no relevant family or personal medical history, and no cardiovascular risk factors. He was asymptomatic and physical examination showed an excellent general condition, normal blood pressure (112/77 mm Hg), a heart rate of 60 bpm, and a normal cardio-pul-monary examination, without any murmurs or abnormal bruits. The electrocardiogram was normal. Trans-thoracic echocardiography (TTE) first suggested a possible coronary artery to left ventricle fistula, showing an abnormal color Doppler flow through the left ventricle wall to the mid part of the ventricular cavity (Figure 1).