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Open Access Open Badges Case Report

Sudden death in a young female with an under-recognised coronary anomaly

Fabio De-Giorgio1*, Vincenzo M Grassi1, Giuseppe Vetrugno1 and Vincenzo Arena2

Author Affiliations

1 Institute of Legal Medicine, Catholic University, Medical School, Rome, Italy

2 Institute Pathologic Anatomy, Catholic University, Medical School, Rome, Italy

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Diagnostic Pathology 2013, 8:41  doi:10.1186/1746-1596-8-41

Published: 28 February 2013


Anomalies of coronary number and course represent an opinion-dividing topic in cardiopathology, particularly for their relationship with sudden cardiac death.

To the best of our knowledge, we herein report the first fatal case of a young female whose coronary anatomy was characterised by the absence of any septal perforator branch in the proximal segment of the LAD.

This case could be useful for pathologists, coronary angiographers, and interventional cardiologists in detecting this infrequent anomaly, thus providing a more accurate estimation of its incidence.

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Sudden death; Agenesia; Septal coronary branches; Heart; Left descending artery