Coexistence of anomalous right coronary artery and non-obstructive hypertrophic cardiomyopathy in two deaths under dissimilar circumstances

 

Pemasari Upali TELISINGHE, Senarath M COLOMBAGE and Pg Md Bahrin Pg ALIUDDIN

Department of Pathology, RIPAS Hospital, Brunei Darussalam

 

ABSTRACT

A previously healthy 39-year-old man had collapsed while playing football and was pronounced dead on arrival to a local hospital. A post-mortem examination revealed a rare combination of two uncommon congenital diseases of the heart; an anomalous origin of the right coronary artery and borderline non-obstructive hypertrophic cardiomyopathy, each with a propensity to cause sudden death during physical exertion. Few months later a 51-year-old man who died following injuries sustained in a road accident also showed identical anomalies of the heart. Aetiology of sudden cardiac death (SCD) during sports is discussed with special emphasis on congenital coronary artery anomalies (CCAA) and hypertrophic cardiomyopathy (HCM).

 

Key Words: Cardiomyopathy, anomalous coronary artery, sudden cardiac death, arrhythmias

 

Correspondence author: PU Telisinghe. Department of Pathology RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.

Tel: +673 2242424 Ext 6506

E mail: ptelisinghe@yahoo.com.sg

 

Brunei Int Med J. 2015; 11 (2): 95-102

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