Sudden cardiac death in a young adult man due to spontaneous coronary artery dissection
- Author:
Kunasilan Subramaniam
1
Author Information
1. National Institute of Forensic Medicine, Hospital Kuala Lumpur, 50586 Kuala Lumpur.
- Collective Name:Kunasilan Subramaniam; Sheue Feng Siew; Mohd Shah Mahmood
- Publication Type:Case Reports
- Keywords:
Sudden death;
coronary artery dissection;
post-mortem
- MeSH:
coronary artery dissection;
post-mortem
- From:The Malaysian Journal of Pathology
2019;41(1):51-54
- CountryMalaysia
- Language:English
-
Abstract:
Spontaneous coronary artery dissection is a rare event and commonly associated with pregnancy and female gender. This condition can reduce or completely obstruct the blood flow to the heart, causing a myocardial ischaemia, abnormalities in heart rhythm or sudden death. We present a case of a 28-year-old Indian male with no previous medical illness who complained sudden onset of chest pain prior to his death. Autopsy revealed a left anterior descending coronary artery dissection associated with plaque rupture. The anterior wall of left ventricle showed contraction band necrosis. There was also atheroma present in the right coronary artery which was insignificant. Histologically, dissection was associated with atherosclerosis. There was no evidence of vasculitis. The cause of death was given as coronary artery dissection due to coronary artery atherosclerosis.
- Full text:5.2019my0992.pdf
