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CASE REPORT   

Medicina dello Sport 2021 June;74(2):338-45

DOI: 10.23736/S0025-7826.21.03862-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English, Italian

Aortic dilation and tricuspid valve prolapse in an asymptomatic young athlete

Tommaso BALLATORE , Mario D. SIRTORI, Claudio DANIELI

Unit of Public Health and Hygiene MI est, Service of Sports Medicine, Department of Prevention, ATS Milano Città Metropolitana, Pioltello, Milan, Italy


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The article describes a case of a young 14-year-old footballer who, at the medical examination for competitive sports fitness, presented, at the anamnesis, a positive family history of heart disease, a prolapse of the septal flap of the tricuspid valve, a dilation of the ascending aorta and episodic nonspecific pain symptoms in the chest. Featured with a normal build and a psycho-somatic development, he presented, during the resting ECG, a short PR interval and a slight lengthening of the QTc. Initiated at a second-level screening, including color Doppler echocardiography, Holter monitor and exercise test at the cycloergometer, it was free of abnormal pathways of pre-excitation and evident QTc anomalies, but the concomitance of aortic dilatation (Z score 3.0) and the prolapse of the septal flap of the tricuspid valve were confirmed. Cardiac MRI with and without contrast, Cine-MRI and Angio-MRI of the thoracic district were performed; to also highlight the aortic vascular tree, an accurate definition of aortic dilation was achieved. The purpose of this work is to contribute to the case history of tricuspid valve prolapse and juvenile aortopathies, apparently without systemic manifestations, attempting to highlight the relationships between these particular cases and the intervention of the physician and sports cardiologist.


KEY WORDS: Thoracic aorta; Tricuspid valve prolapse; Aortic diseases

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