Open AccessANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY
Author(s) -
Murai Tatsuya,
Kawaguchi Yukihiro,
Inui Michio
Publication year - 1982
Publication title -
acta patholigica japonica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
ISSN - 0001-6632
DOI - 10.1111/j.1440-1827.1982.tb02088.x
Subject(s) - medicine , autopsy , left coronary artery , cardiology , aorta , artery , ostium , chest pain , sudden death , stenosis
Two autopsy cases of anomalous coronry artery were reported. The patients were a schoolgirl and a schoolboy, who died suddenly during physical exercise at the age of twelve. At postmortem examination in both cases the left coronary artery arose at the comissure from aorta, and in one case the left coronary ostium was completely obstructed with fibrous tissue, whereas in the other case it was severely stenotic. The cause of anomalous ostial position should be regarded as congenital, but the complete occlusion and severe stenosis at the orifice seemed to be modified by several factors ‐ both congenital acquired. For the prevention of sudden death caused by this anomaly, cardiac angiography would have been necessary at the outset of anginal pain.