{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:14:16Z","timestamp":1777896856776,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"UK based charity Cardiac Risk in the Young"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Coronary vasospasm and coronary artery dissection are two recognized causes of Sudden Cardiac Death [SCD] in association with Myocardial Infarction in Non-Obstructive Coronary Artery [MINOCA]. This is a case of post procedure death in a 50-year-old female during cardiac angiography, who had a family history of coronary spasm with sudden cardiac death in her mother. She went into cardiac arrest during the procedure with iatrogenic acute coronary dissection which was treated with LMS\/LCx vessel stenting. However, she died in 4 days post procedure. Postmortem cardiac examination demonstrated a transmural hemorrhagic infarction of the entire circumferential wall of the left ventricle with normal coronaries both macroscopically and microscopically. Acute coronary dissection was confirmed histologically in the left main stem.<\/jats:p>\n                  <jats:p>Coronary vasospasm is transient constriction of coronary arteries, which causes partial or complete obstruction of the vessels. The exact pathophysiological mechanism is poorly understood, but atheroma, drugs and a genetic predisposition are common associations. This case highlights the strong genetic link of coronary vasospasm in both mother and daughter and also the complication of iatrogenic coronary dissection which is a rare, but serious complication reported in about 0.1% of coronary angiography. This is the first postmortem report of procedure-related dissection in a patient with vasospasm indicating the cause is functional. Forensic practitioners need to be aware of coronary vasospasm and the complications of coronary angiography as a cause of acute myocardial infarction. Detailed autopsy yields valuable information in this rare condition.<\/jats:p>","DOI":"10.1177\/00258024241290037","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T09:30:31Z","timestamp":1730194231000},"page":"162-165","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of Sudden Cardiac Death with myocardial infarction due to iatrogenic coronary dissection in a patient with coronary vasospasm"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4814-6255","authenticated-orcid":false,"given":"Samadhi Dandeniya","family":"Arachchi","sequence":"first","affiliation":[{"name":"Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary N","family":"Sheppard","sequence":"additional","affiliation":[{"name":"CRY Cardiovascular Pathology Unit, Cardiovascular and Genetic Research Institute, St George's, University of London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2023.09.005"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2023-002504"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.02.020"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1253\/jcj.62.284"},{"key":"e_1_3_2_6_2","first-page":"367","article-title":"Genetic risk factors for coronary artery spasm: significance of endothelial nitric oxide synthase gene T-786\u2192 C and missense Glu298Asp variants","volume":"48","author":"Yoshimura M","year":"2000","unstructured":"Yoshimura M, Yasue H, Nakayama M, et al. Genetic risk factors for coronary artery spasm: significance of endothelial nitric oxide synthase gene T-786\u2192 C and missense Glu298Asp variants. Journal of Investigative Medicine: The Official Publication of the American Federation for Clinical Research 2000 Sep 1; 48: 367\u2013374.","journal-title":"Journal of Investigative Medicine: The Official Publication of the American Federation for Clinical Research"},{"key":"e_1_3_2_7_2","first-page":"649","article-title":"16 Iatrogenic catheter induced coronary artery dissection: incidence, management and outcomes","volume":"4","author":"Ramasamy A","year":"2021","unstructured":"Ramasamy A, Jones DA, Wragg A, et al. 16 Iatrogenic catheter induced coronary artery dissection: incidence, management and outcomes. Catheter Cardiovasc Interv 2021; 4: 649\u2013655.","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.4068\/cmj.2010.46.2.112"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024241290037","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258024241290037","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024241290037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:39:30Z","timestamp":1777624770000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258024241290037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,29]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/00258024241290037"],"URL":"https:\/\/doi.org\/10.1177\/00258024241290037","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,29]]}}}