Is right coronary artery hypoplasia and sudden death an underdiagnosed association?

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dc.contributor.authorWick, R.
dc.contributor.authorOtto, S.
dc.contributor.authorByard, R.
dc.date.issued2007
dc.descriptionCopyright © 2007 Lippincott Williams & Wilkins, Inc.
dc.description.abstractDetermining 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.
dc.description.statementofresponsibilityWick, Regula; Otto, Sophie; Byard, Roger W.
dc.identifier.citationAmerican Journal of Forensic Medicine and Pathology, 2007; 28(2):128-130
dc.identifier.doi10.1097/PAF.0b013e31805c93fd
dc.identifier.issn0195-7910
dc.identifier.issn1533-404X
dc.identifier.orcidByard, R. [0000-0002-0524-5942]
dc.identifier.urihttp://hdl.handle.net/2440/43994
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.source.urihttps://doi.org/10.1097/paf.0b013e31805c93fd
dc.subjectMyocardium
dc.subjectHeart Septum
dc.subjectMitral Valve
dc.subjectHumans
dc.subjectCoronary Vessel Anomalies
dc.subjectMyocardial Ischemia
dc.subjectDeath, Sudden
dc.subjectFibrosis
dc.subjectForensic Pathology
dc.subjectMiddle Aged
dc.subjectFemale
dc.titleIs right coronary artery hypoplasia and sudden death an underdiagnosed association?
dc.typeJournal article
pubs.publication-statusPublished

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