1Associate Professor, Pathology Department, B.J. GMC, Pune, Maharashtra, India
2Assistant Professor, Forensic Medicine Department, B.J. GMC, Pune, Maharashtra, India
3Professor & HOD, Pathology Department, B.J. GMC, Pune, Maharashtra, India
4Assistant Professor, Pathology Department, B.J. GMC, Pune, Maharashtra, India
A congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall beneath the muscle bridge is myocardial bridging. Although the myocardial bridging prognosis is benign, in medical literature have been also reported as sudden death. A 29-year-old male was died suddenly with the history of difficulty in breathing before death. The left anterior descending coronary artery was detected embedded deeply in the myocardium 1.8 cm from its coronary ostial origin. Also found anterior wall healed myocardial infarction. We analyzed sudden death case occurred because of myocardial bridging and the pathophysiological mechanisms in the light of medico-legal literature.
Acute coronary syndrome, Myocardial bridging, Myocardial infarction, Autopsy
