Key result
The absence of any anterior septal perforator branch in the proximal segment of the left anterior descending artery was identified as the underlying cause of sudden cardiac death in a 16-year-old female.
Case Report (n=1)
Agenesis of the anterior septal branches in the proximal LAD is a rare congenital coronary anomaly that can cause myocardial ischemia and sudden cardiac death in young individuals.
Anomalies of coronary number and course represent an opinion-dividing topic in cardiopathology, particularly for their relationship with sudden cardiac death.To the best of our knowledge, we herein report the first fatal case of a young female whose coronary anatomy was characterised by the absence of any septal perforator branch in the proximal segment of the LAD.This case could be useful for pathologists, coronary angiographers, and interventional cardiologists in detecting this infrequent anomaly, thus providing a more accurate estimation of its incidence. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/3570015858473043.
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De‐Giorgio et al. (2013) conducted a case report in Sudden cardiac death (n=1). Absence of anterior septal perforator branch in proximal LAD was evaluated on Sudden cardiac death. The absence of any anterior septal perforator branch in the proximal segment of the left anterior descending artery was identified as the underlying cause of sudden cardiac death in a 16-year-old female.
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