title: Aplastic right coronary artery and left coronary artery with a separate origin of the circumflex branch in a 31-year-old woman.
abstract: Singular coronary arteries are a rare feature appearing in approximately 0.05% of the population. The clinical relevance of those anomalies varies a lot. The wide range of descriptions reaches from asymptomatic cases to sudden cardiac death. This will be discussed in a case report concerning a 31-year-old woman who was found dead in her apartment. Due to drugs that were found next to her, a suicide was assumed. The autopsy yielded an aplastic right coronary artery and a left coronary artery with an anomalous origin of the circumflex branch as well as a myocardial scar. The autopsy findings and the results of the toxicological examinations are presented and discussed in view of the cause of death.
authors.affiliation: Institute of Forensic Medicine, University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany. thierauf@uni-bonn.de
authors.forename: Annette
authors.initials: A
authors.lastname: Thierauf
authors.forename: Reinhard
authors.initials: R
authors.lastname: Dettmeyer
authors.forename: Heike
authors.initials: H
authors.lastname: Wollersen
authors.forename: Burkhard
authors.initials: B
authors.lastname: Madea
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000097:blood; D000929:Antidepressive Agents, Tricyclic / Q000097:blood; D002492:Central Nervous System Depressants / Q000652:urine; D003330:Coronary Vessel Anomalies / Q000473:pathology*; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D009206:Myocardium / Q000473:pathology; D011722:Pyrethrins / Q000652:urine; D013993:Tilidine / Q000031:analogs & derivatives / Q000097:blood; D014299:Trimipramine / Q000097:blood
chemical_list: D000701:Analgesics, Opioid; D000929:Antidepressive Agents, Tricyclic; D002492:Central Nervous System Depressants; D011722:Pyrethrins; C062492:bisnortilidine; C006247:ethanoresmethrin; D014299:Trimipramine; C062490:nortilidine; D013993:Tilidine