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Patrick van Aanholt seen smoking a shisha pipe just over a month before being pulled by Sunderland from Tottenham clash

Patrick van Aanholt has been pictured allegedly smoking a shisha pipe just over a month before he was withdrawn fromSunderland’s side over a heart concern.

The defender was taken out of the starting XI just a quarter of an hour before kick-off at Spurs on Sunday on the recommendation of a cardiologist.

Van Aanholt had undergone a heart scan five days earlier and Black Cats manager David Moyes thought the 26-year-old had been cleared to play.

Patrick van Aanholt has been pictured allegedly smoking a shisha pipe
Patrick van Aanholt has been pictured allegedly smoking a shisha pipe
Van Aanholt (left) was withdrawn from the Sunderland side on medical grounds on Sunday
Van Aanholt (left) was withdrawn from the Sunderland side on medical grounds on Sunday
van Aanholt looks on in confusion
The former Chelsea player looked on in confusion as he was told 35 minutes before kick-off
Sunderland star double checks to see if he heard right

However, the heart specialist contacted Sunderland’s club doctor 35 minutes before the game and Moyes made the decision to withdraw the Dutch left back.