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  • Title: An Unusual Cause of Aborted Sudden Cardiac Death in a Middle-Aged Female Marathoner.
    Author: Quina-Rodrigues C, Vieira C, Gaspar A, Sousa P, Madureira A, Marques J, Pinho P, Casanova J.
    Journal: Can J Cardiol; 2018 Sep; 34(9):1233.e9-1233.e11. PubMed ID: 30078692.
    Abstract:
    Although most congenital coronary artery anomalies have no prognostic implications, associations with sudden cardiac death have been described, particularly in the young. We report an exercise-associated collapse in an otherwise asymptomatic middle-aged female marathoner. The aborted sudden cardiac death approach revealed an unexpected initial presentation of a malignant anomalous left main coronary artery origin, with ostial stenosis and interarterial course. The present case illustrates an unusually longstanding coexistence of a malignant anatomical variant with a persistent trigger.
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