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KMID : 0357820210450040156
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Korean Journal of Legal Medicine
2021 Volume.45 No. 4 p.156 ~ p.158
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An Autopsy Report of Hypoplastic Coronary Artery Disease Incidentally Identified in a Young Man
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Park Ji-Hyun
Jeon Yo-Han
Choi Sang-Joon
Lee Jong-Kyu
Yeo Nam-Seok
Lee Sang-Han
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Abstract
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Hypoplastic coronary artery disease (HCAD) is a rare congenital abnormality characterized by underdevelopment of one or more major branches of the coronary arteries, which may lead to myocardial infarction and sudden death. We report a case of HCAD that was incidentally detected during autopsy in a 25-year-old male soldier who died during underwater escape training. On macroscopic examination, the right coronary artery measured 1 mm in diameter, which was significantly smaller than that of other coronary arteries. We observed no anomalies in addition to HCAD. Death was attributed to drowning, which was consistent with autopsy findings and the circumstances of death. Although extremely rare, if sudden cardiac death is suspected in children and young adults, it must be confirmed through careful evaluation.
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KEYWORD
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Coronary vessel anomalies, Coronary artery disease, Sudden cardiac death
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