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Research-Article

Sudden Cardiac Death During Exercise Due to an Isolated Multiple Anomaly of the Left Coronary Artery in a 12-Year-Old Girl: Clinicopathologic Findings

A Garfia, M.D.,

A Garfia, M.D.

¹

Head of Pathology Department

.

National Institute of Toxicology

,

Seville,

Spain

.

Instituto Nacional de Toxicologia

P.O. Box 863

41080 Sevilla,

Spain

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M Rodriguez, M.D.,

M Rodriguez, M.D.

²

Professor of the Institute of Legal Medicine

,

University of Seville

,

Spain

.

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H Chavarria, M.D.,

H Chavarria, M.D.

³

Forensic senior pathologist, Seville,

Spain

.

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M Garrido, M.D.

M Garrido, M.D.

⁴

Head of Cardiology Department

,

Virgen Macarena Universitary Hospital

,

Seville,

Spain

.

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Author and Article Information

A Garfia, M.D.

¹

Head of Pathology Department

.

National Institute of Toxicology

,

Seville,

Spain

.

Instituto Nacional de Toxicologia

P.O. Box 863

41080 Sevilla,

Spain

M Rodriguez, M.D.

²

Professor of the Institute of Legal Medicine

,

University of Seville

,

Spain

.

H Chavarria, M.D.

³

Forensic senior pathologist, Seville,

Spain

.

M Garrido, M.D.

⁴

Head of Cardiology Department

,

Virgen Macarena Universitary Hospital

,

Seville,

Spain

.

J. Forensic Sci.. Mar 1997, 42(2): 330-334 (5 pages)

https://doi.org/10.1520/JFS14123J

Published Online: March 1, 1997

Abstract

A 12-year-old girl was taken to the Virgen Macarena University Hospital in Seville, Spain, complaining of abdominal pain, nausea, palpitations, and difficulty in breathing. Her school teacher informed that the girl collapsed after a 100-m race at sports in school.

Emergency rescue personnel found the patient pale, in a cold sweat, with low peripheral perfusion. Initial ECF revealed supraventricular tachycardia (150 bpm), right bundle branch block and left anterior hemiblock that, eventually, progressed to full cardiac arrest. At autopsy, an isolated multiple congenital anomaly of the left coronary artery was found (initial segment anomaly; course anomaly and tunneled coronary artery anomaly).

In our opinion, this appears to be the first reported case of exercise-related sudden cardiac death, due to an isolated multiple congenital anomaly of the left coronary artery (at the origin, on the course and at the termination).

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