Iino Morio, Kimura Takeshi, Abiru Hitoshi, Kaszynski Richard H, Yuan Qing-Hua, Tsuruyama Tatsuaki, Tamaki Keiji
Department of Legal Medicine, Kyoto University Graduate School of Medicine, Kyoto 606-8501, Japan.
Leg Med (Tokyo). 2007 Jan;9(1):25-9. doi: 10.1016/j.legalmed.2006.08.006. Epub 2006 Dec 5.
An anomalous origin of the coronary arteries had been implicated as a cause of sudden cardiac death in a case involving a 16-year-old student who suddenly collapsed while running track at school. An autopsy revealed that the right coronary artery arose from the aorta in the left sinus of Valsalva. In order to determine whether the same anomaly was inherent in his brother--an identical twin--a complete cardiac medical examination was conducted. Multi-detector-row computed tomography (MDCT) coronary angiography showed no anomaly at the sinus of Valsalva, which indicates that the anomaly, in this case, was not hereditary. This case exemplifies instances where forensic medicine may intervene to prevent sudden deaths in surviving family members.
冠状动脉异常起源被认为是导致心源性猝死的一个原因，有这样一个案例，一名16岁的学生在学校跑道上跑步时突然晕倒。尸检显示右冠状动脉起源于主动脉的左瓦尔萨尔瓦窦。为了确定他的同卵双胞胎兄弟是否也存在同样的异常，对其进行了全面的心脏医学检查。多排探测器计算机断层扫描（MDCT）冠状动脉造影显示瓦尔萨尔瓦窦无异常，这表明在这种情况下，该异常并非遗传性的。这个案例例证了法医学可能进行干预以预防幸存家庭成员猝死的情况。
