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젊은 남자 부검에서 우연히 발견된 저형성 관상동맥질환

An autopsy report of hypoplastic coronary artery disease incidentally identified in a young man

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초록

Hypoplastic coronary artery disease (HCAD) is a rare congenital underdevelopment disease, which may lead to myocardial infarction and sudden death. We report a case of HCAD identified incidentally during the autopsy of a 25-year-old male soldier who died during underwater escape training. Grossly, the diameter of the right coronary artery was 1 mm, significantly smaller than that of other coronary arteries. No other anomalies were found other than HCAD. The cause of death was determined as drowning, consistent with autopsy findings and the circumstance of death. Although very rare, if sudden cardiac death is suspected in children and young adults, it must be checked through examination.

Abstract

Hypoplastic coronary artery disease (HCAD) is a rare congenital underdevelopment disease, which may lead to myocardial infarction and sudden death. We report a case of HCAD identified incidentally during the autopsy of a 25-year-old male soldier who died during underwater escape training. Grossly, the diameter of the right coronary artery was 1 mm, significantly smaller than that of other coronary arteries. No other anomalies were found other than HCAD. The cause of death was determined as drowning, consistent with autopsy findings and the circumstance of death. Although very rare, if sudden cardiac death is suspected in children and young adults, it must be checked through examination.

참고문헌 (9)

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  2. Roberts WC, "Congenital hypoplasia of both right and left circumflex coronary arteries", Am J Cardiol, 70, pp.121~123 (1992)
  3. Ogden JA, "Congenital anomalies of the coronary arteries", Am J Cardiol, 25, pp.474~479 (1970)
  4. Guo A, "Hypoplastic coronary artery disease presenting with ventricular fibrillation cardiac arrest", Eur J Case Rep Intern Med, 8, pp.002736~ (2021)
  5. 심두선, "Myocardial Infarction in a Young Man due to a Hypoplastic Coronary Artery", Korean Circulation Journal, 39(4), pp.163~167 (2009), 대한심장학회
  6. Shi X, "Hypoplastic coronary arteries in a child with a mutation in Notch1: a case report", Medicine(Baltimore), 99, pp.e21355~ (2020)
  7. Gol MK, "Coronary artery anomalies in adult patients", Med Sci Monit, 8, pp.CR636~CR641 (2002)
  8. De Giorgio F, "Hypoplastic coronary artery disease causing sudden death : report of two cases and review of the literature", Cardiovasc Pathol, 19, pp.e107~e111 (2010)
  9. Smith ET Jr, "Sudden cardiac death associated with hypoplasia of the coronary arteries and conduction system alteration", Am J Forensic Med Pathol, 18, pp.189~193 (1997)

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