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Open Access 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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Citation and License

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

Published: 28 February 2013

Abstract

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.

Virtual Slides

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