Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/43994
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Type: Journal article
Title: Is right coronary artery hypoplasia and sudden death an underdiagnosed association?
Author: Wick, R.
Otto, S.
Byard, R.
Citation: American Journal of Forensic Medicine and Pathology, 2007; 28(2):128-130
Publisher: Lippincott Williams & Wilkins
Issue Date: 2007
ISSN: 0195-7910
1533-404X
Statement of
Responsibility: 
Wick, Regula; Otto, Sophie; Byard, Roger W.
Abstract: Determining whether hypoplasia of a coronary artery has caused or contributed to death is often complicated by an absence of histologic evidence of myocardial ischemia in the area of the heart supplied by the affected artery and also by the lack of data for assessing coronary artery size at autopsy. A 45-year-old woman is reported who collapsed and died and who was found at autopsy to have a dominant, small-caliber, right coronary artery, with acute and chronic ischemic changes in the posterior interventricular septum supplied by the diminutive vessel. This case provides evidence that small-caliber coronary arteries may be associated with a lethal outcome. Given the difficulties that may occur in determining whether there is a causal link between small coronary artery caliber and death, it is possible that this may be an underdiagnosed cause of sudden cardiac death, rather than a coincidental finding of minimal significance.
Keywords: Myocardium
Heart Septum
Mitral Valve
Humans
Coronary Vessel Anomalies
Myocardial Ischemia
Death, Sudden
Fibrosis
Forensic Pathology
Middle Aged
Female
Description: Copyright © 2007 Lippincott Williams & Wilkins, Inc.
DOI: 10.1097/PAF.0b013e31805c93fd
Published version: http://dx.doi.org/10.1097/paf.0b013e31805c93fd
Appears in Collections:Aurora harvest 6
Pathology publications

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