Death due to coronary artery anomaly with coexistence of Chiari network

Area of Science:

• Cardiovascular Pathology
• Forensic Medicine
• Anatomical Abnormalities

Background:

• Coronary artery anomalies are infrequently identified in autopsies and angiograms.
• These anomalies can be part of complex malformations and are linked to sudden cardiac death.
• The presented case involves a young male with a fatal collapse during physical activity.

Purpose of the Study:

• To report a rare case of coronary artery anomaly.
• To discuss its association with sudden cardiac death and a Chiari network.
• To analyze the forensic implications of this specific case.

Main Methods:

• Autopsy examination of a 22-year-old male who died suddenly.
• Macroscopic internal examination of the cardiovascular system.
• Histopathological examination (implied by forensic context).

Main Results:

• Absence of the right coronary artery was observed.
• Two coronary artery ostia were identified, originating abnormally from the left aortic sinus and above the sinotubular line.
• A Chiari network was present in the right atrium.

Conclusions:

• The case illustrates a rare coronary artery anomaly potentially contributing to sudden cardiac death.
• The co-occurrence of a Chiari network adds complexity to the pathological findings.
• Forensic medicine plays a crucial role in evaluating such cases in light of anatomical variations.