Explain an anomalous coronary and exercise restriction to a young athlete — OSCE

Candidate instructions

You are the paediatric registrar. You have seven minutes to speak with Liam, a fourteen-year-old who plays competitive football, and his mother Mrs Chen. During a match two days ago Liam felt central chest pain and became dizzy, and he sat down just before he felt he might faint. An echocardiogram in the emergency department suggested that his left coronary artery arises from the right coronary sinus, and he has been told not to train until he is reviewed. Explain what this finding means in plain language, why he must stop competitive sport for now, what further tests and a possible operation involve, and what the outlook is — honestly and without overpromising. Answer their questions, check their understanding, and agree a plan. ^{[1] [2]}