Abstract
ABSTRACTTwo cases of sudden unexpected death due to spontaneous coronary artery dissection are reported, retrieved from a series of forensic autopsies of 3300 cases since 1997. The first case was a 52‐year‐old man who had no previous health problem but cardiomegaly and atherosclerosis in coronary arteries. The dissection was found between the intima and the media at the proximal and mid‐portion of the left anterior descending coronary artery, 6.6cm in segment. The second case was a 39‐year‐old woman who had a history of hypertension and an intrauterine device. The dissection was also found between the intima and the media of the mid‐portion of the left anterior descending coronary artery, 8.7cm in segment. There was no myocardial infarct probably due to the hyperacute nature of this coronary obstruction. No significant predispositions were noted although hypertension and the intrauterine device may have causal association. Both reported cases present previously healthy adults who experienced sudden, unexpected death.
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