Former RSC Anderlecht midfielder Cheikhou Kouyaté announced his retirement from professional football on Friday, revealing in Senegalese media that he has played his entire career with a congenital heart defect.
A Congenital Condition Managed in Secret
Kouyaté disclosed that he has suffered from a heart condition since birth, a medical issue that consistently surfaced during routine screenings throughout his time in England. During his stints with West Ham United, Crystal Palace, and Nottingham Forest, cardiac tests flagged the abnormality every six months. Rather than stopping, Kouyaté elected to sign insurance waivers taking full personal responsibility for any risks associated with playing.
The physical toll of the condition manifested primarily under specific environmental strains. Kouyaté explained that playing at altitude or in intense heat triggered sharp, five-minute stabbing pains during and after matches, followed by severe cramping that lasted up to 24 hours. He chose to conceal the symptoms from his family, club medical staff, and national team doctors to avoid being forced into an early retirement.
Anderlecht’s Coaching Offer and Medical Intervention
The reality of the condition came to light during discussions regarding a potential return to Belgium. Anderlecht contacted Kouyaté during the summer transfer window with a dual proposal: to play for the club’s reserve squad, the RSCA Futures, while simultaneously initiating his transition into a coaching career. However, mandatory pre-transfer medical examinations prompted attending physicians to halt the deal and strongly advise him to end his playing career immediately.

Kouyaté departs the sport as a prominent figure from Anderlecht’s championship-winning squads of the past, leaving open the question of whether the Brussels club might still integrate him into their youth coaching setup now that his playing days have concluded.
Frequently Asked Questions
Why did the proposed move to RSCA Futures fall through?
Although Anderlecht offered him a player-coach role with their reserve team in the summer, standard medical examinations revealed the extent of his heart condition, leading doctors to advise him against playing any further.

When did Kouyaté make his retirement public?
Kouyaté announced his retirement on Friday during an interview with media outlets in Senegal, where he detailed the lifelong medical condition for the first time.
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