Sudden Death Due to Coronary Artery Anomalies: A Case Report and Clinical Review

    Volume 39, Issue 1 (January 1994)

    ISSN: 0022-1198

    CODEN: JFSOAD

    Page Count: 7


    Rao, C
    Gordon V. Torrance Regional Forensic Pathology Unit, Hamilton, Ontario

    King, DL
    Gordon V. Torrance Regional Forensic Pathology Unit, Hamilton, Ontario

    Heggtveit, HA
    Gordon V. Torrance Regional Forensic Pathology Unit, Hamilton, Ontario

    Rao, V
    Gordon V. Torrance Regional Forensic Pathology Unit, Hamilton, Ontario

    (Received 17 March 1993; accepted 1 June 1993)

    Abstract

    Congenital anomalies of the coronary arteries are relatively uncommon conditions with an incidence of approximately 2% in the adult population. Although less common than acquired coronary artery disease, these anomalies may be associated with myocardial ischemia and its consequences; angina, arrhythmia, infarction, and sudden death. A 21-year-old female patient with no significant prior medical history was found dead at home. Postmortem examination revealed high take-off of the right coronary artery with acute downward angulation of the proximal right coronary artery and acute downward angulation of the left main coronary artery. Microscopic examination revealed global myocardial ischemia consistent with a terminal ventricular dysrhythmia. There was no evidence of any other disease processes. Detailed toxicological investigation was negative. The Regional Forensic Pathology Unit experience with sudden death due to congenital coronary artery anomalies is presented along with a review of the current literature.


    Paper ID: JFS13592J

    DOI: 10.1520/JFS13592J

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    Title Sudden Death Due to Coronary Artery Anomalies: A Case Report and Clinical Review
    Symposium , 0000-00-00
    Committee E30