title: Sudden Death Caused by Anomalous Origin of the Coronary Artery During Exercise.
abstract: Anomalous origin of the coronary artery (AOCA) is a rare, but important cause of sudden cardiac death among young athletes. Nine autopsy cases (8 male, 1 female; mean age, 17.9 years; age range, 11-31 years) of sudden death during or just after exercise caused by AOCA were reviewed. The exercises performed at the time of death were running (4 cases), soccer (2 cases), and baseball, swimming and kendo (Japanese swordsmanship) (1 case each). In 6 cases, the left coronary artery arose from the right sinus of Valsalva, and in 3, the right coronary artery from the left sinus. The coronary arteries passed between the pulmonary artery and the aorta with an acute angle takeoff from the orifice. Three cases had cardiovascular manifestations prior to death. In cases with cardiovascular manifestations, novel imaging methods should be considered to prevent sudden death.
authors.affiliation: Department of Legal Medicine, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.|Tokyo Medical Examiner's Office, 4-21-18 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Kurosu
authors.affiliation: Tokyo Medical Examiner's Office, 4-21-18 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan.
authors.forename: Kazumi
authors.initials: K
authors.lastname: Kuroyanagi
authors.affiliation: Department of Legal Medicine, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
authors.forename: Shinobu
authors.initials: S
authors.lastname: Yamauchi
authors.affiliation: Department of Legal Medicine, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Omura
authors.affiliation: Department of Legal Medicine, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.|Tokyo Medical Examiner's Office, 4-21-18 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan.|Department of Forensic Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Saito
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000473:pathology*; D003645:Death, Sudden / Q000209:etiology*; D015444:Exercise; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D055815:Young Adult
keywords: anomalous origin of the coronary artery; forensic autopsy; forensic pathology; forensic science; sudden cardiac death; young athlete