JACC. Case reports · 2026
Triathlete With Repaired D-Transposition of the Great Arteries and Anterior Left Anterior Descending Coronary Artery Takeoff.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Albosta Michael, Thapa Rashmi, Connolly Heidi, Larson Kathryn F
Аннотация
BACKGROUND: Care for athletes with congenital heart disease (CHD) is challenging owing to limited evidence to guide participation decisions. We present a case regarding return-to-play recommendations in a triathlete with CHD.
CASE SUMMARY: A 22-year-old triathlete with repaired D-transposition of the great arteries and supravalvular pulmonary stenosis presented with dyspnea during competition. Imaging revealed moderate right ventricular enlargement, moderate pulmonic regurgitation, a dilated neo-aortic root, and a reimplanted left anterior descending coronary artery with high-risk anatomic features. Multidisciplinary review determined that the coronary and aortic abnormalities posed prohibitive risk for competitive triathlon participation. Through shared decision-making, the athlete elected to retire from triathlon.
DISCUSSION: Contemporary sports cardiology guidelines emphasize a multistep and multidisciplinary approach to participation assessment in athletes with CHD and encourage engaging in shared decision-making when providing recommendations.
TAKE-HOME MESSAGE: Care for athletes with CHD requires collaborative, patient-centered decision-making involving the patient, medical team, and relevant stakeholders.
CASE SUMMARY: A 22-year-old triathlete with repaired D-transposition of the great arteries and supravalvular pulmonary stenosis presented with dyspnea during competition. Imaging revealed moderate right ventricular enlargement, moderate pulmonic regurgitation, a dilated neo-aortic root, and a reimplanted left anterior descending coronary artery with high-risk anatomic features. Multidisciplinary review determined that the coronary and aortic abnormalities posed prohibitive risk for competitive triathlon participation. Through shared decision-making, the athlete elected to retire from triathlon.
DISCUSSION: Contemporary sports cardiology guidelines emphasize a multistep and multidisciplinary approach to participation assessment in athletes with CHD and encourage engaging in shared decision-making when providing recommendations.
TAKE-HOME MESSAGE: Care for athletes with CHD requires collaborative, patient-centered decision-making involving the patient, medical team, and relevant stakeholders.