Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 4: Congenital Heart Disease

participate in organized sports?

Should my patient with Anomalous Right Coronary Artery From Left Sinus participate in organized sports?

Right Coronary Artery from Left Sinus of Valsalva

Need to know:

  • Whether coronaries have been repaired
  • Symptoms
  • Arrhythmias
  • Stress test results
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⇓
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Unrepaired, asymptomatic, negative exercise stress test

"Athletes with an anomalous origin of a right coronary artery from the left sinus of Valsalva should be evaluated by an exercise stress test. For those without either symptoms or a positive exercise stress test, permission to compete can be considered after adequate counseling of the athlete and/or the athlete’s parents (in the case of a minor) as to risk and benefit, taking into consideration the uncertainty of accuracy of a negative stress test."

Conditional (see above)

(Class IIa Recommendation; Level of Evidence C)

Unrepaired, symptomatic, arrythmias, ischemia on stress test

"Nonoperated athletes with an anomalous origin of a right coronary artery from the left sinus of Valsalva who exhibit symptoms, arrhythmias, or signs of ischemia on exercise stress test should be restricted from participation in all competitive sports, with the possible exception of class IA sports, before a surgical repair."

No sports, possible exception Class IA

(Class III Recommendation; Level of Evidence C)

After successful repair > 3 months ago, asymptomatic, negative stress test

"After successful surgical repair of an anomalous origin from the wrong sinus, athletes may consider participation in all sports 3 months after surgery if the patient remains free of symptoms and an exercise stress test shows no evidence of ischemia or cardiac arrhythmias."

May consider all sports, if conditions met.

(Class IIb Recommendation; Level of Evidence C)

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force . A Scientific Statement From the AHA and ACC. Circulation 2015

Disclaimer: This website is derived from published guidelines, but does not constitute medical advice nor does it replace clinical judgement. Only the text in quotation marks are direct quotations from the original guidelines. Text not in quotations as well as the method of information display are all that of the website creator and are not part of the original published guidelines. Please consult a physician to discuss any patient-specific matters.

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