Severe Ischemic Heart Disease in Infant with Anomalous Origin of the Left Coronary Artery from the Pulmonary Trunk Referred to legal Medicine Center of Tabriz

Detection of causes of sudden natural death is a major problem of physicians and exact inspection of rare causes of sudden death reduces number of white autopsies; hence well performance of justice. Anomalous origin of coronary arteries is one of these rare cases mostly in infants leading to death due to ischemia and heart failure. Attention to anomalous coronary at autopsy is very important for diagnosis of the cause of death. The received specimen from autopsy room of Tabriz legal medicine center was evaluated macroscopically and microscopically by using Hematoxylin and Eosin (H&E) staining method. The deceased was 3- month- old female infant the referred to East Azarbyjan Legal medicine center to determining the cause of death. At autopsy examination of the coronary artery, orifice of the left coronary artery unusually originated from left sinus of pulmonary trunk. The macroscopic and microscopic examinations also confirmed these findings and Ischemia due to the indicated cardiac anomaly. As anomalous origin of the coronary arteries can lead to natural death in infancy, examination of orifices of these arteries is very important for detection of the cause of death in infants and other cases.