title: Sudden death due to coronary artery dissection associated with fibromuscular dysplasia revealed by postmortem selective computed tomography coronary angiography: A case report.
abstract: We present an autopsy case of sudden death due to coronary artery dissection associated with fibromuscular dysplasia (FMD) in a young female patient. Postmortem selective coronary artery computed tomography (CT) angiography revealed dissections of the left anterior descending and left circumflex arteries. These findings were confirmed by subsequent autopsy. Histopathological examination revealed coronary artery FMD, which is considered a risk factor for dissection. To the best of our knowledge, this is the first postmortem radiology-pathology correlation of coronary artery dissection associated with FMD.
authors.affiliation: Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan; Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: ymakino-tky@umin.ac.jp.
authors.forename: Yohsuke
authors.initials: Y
authors.lastname: Makino
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: goinokuchi@chiba-u.jp.
authors.forename: Go
authors.initials: G
authors.lastname: Inokuchi
authors.affiliation: Department of Radiology, Chiba University Hospital, Inohana 1-8-1, Chuo-ku 260-8677, Chiba, Japan. Electronic address: rd8h-ykt@radio.email.ne.jp.
authors.forename: Hajime
authors.initials: H
authors.lastname: Yokota
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: moo600@faculty.chiba-u.jp.
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Hayakawa
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: yajima.d@faculty.chiba-u.jp.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yajima
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: aama0171@chiba-u.jp.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Motomura
authors.affiliation: Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan; Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: chibafumico@chiba-u.jp.
authors.forename: Fumiko
authors.initials: F
authors.lastname: Chiba
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: number60188@chiba-u.jp.
authors.forename: Suguru
authors.initials: S
authors.lastname: Torimitsu
authors.affiliation: Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: nakatani@faculty.chiba-u.jp.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Nakatani
authors.affiliation: Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan; Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan. Electronic address: iwase@faculty.chiba-u.jp.
authors.forename: Hirotaro
authors.initials: H
authors.lastname: Iwase
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000473:pathology; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D003645:Death, Sudden / Q000209:etiology*; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D061330:Multidetector Computed Tomography; D017539:Tunica Intima / Q000473:pathology; D017540:Tunica Media / Q000473:pathology
keywords: Autopsy/MT; Coronary angiography; Coronary arteries; Coronary artery dissection; Fibromuscular dysplasia/PA; Spontaneous