# Forensic Diagnosis of Sudden Cardiac Death Due to Thrombosis Secondary to Coronary Artery Ectasia: A Description of Two Cases

**Authors:** France Evain, Marco Roffi, Quentin Chatelain, Marouchka Gerth, Sabatasso Sara

PMC · DOI: 10.7759/cureus.102324 · Cureus · 2026-01-26

## TL;DR

This paper describes two cases where sudden cardiac death occurred due to coronary thrombosis in the context of coronary artery ectasia.

## Contribution

The study provides rare forensic insights into sudden cardiac death linked to coronary artery ectasia using post-mortem imaging and histology.

## Key findings

- Sudden cardiac death was caused by myocardial infarction due to thrombosis in both cases.
- Post-mortem computed tomography angiography and histology confirmed the diagnosis of coronary artery ectasia.
- The cases offer a rare and complete forensic illustration of the disease.

## Abstract

Coronary artery ectasia (CAE), whether it is diffuse or localized, is an uncommon finding. It is sparsely documented, especially by post-mortem imaging and histology. In this article, we will describe two cases of sudden cardiac death secondary to coronary thrombosis in the context of CAE. The cause of death was myocardial infarction in both cases. Diagnosis was based on post-mortem computed tomography angiography, forensic autopsy, and histological examination, offering a rare and complete illustration of the disease.

## Linked entities

- **Diseases:** myocardial infarction (MONDO:0005068)

## Full-text entities

- **Genes:** REN (renin) [NCBI Gene 5972] {aka ADTKD4, HNFJ2, RTD}, FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}
- **Diseases:** aneurysm (MESH:D000783), calcifications (MESH:D002114), stable angina pectoris (MESH:D060050), vessel occlusion (MESH:C536223), rupture (MESH:D012421), diabetes (MESH:D003920), pulmonary edema (MESH:D011654), angina pectoris (MESH:D000787), chronic inflammation (MESH:D007249), Ehler-Danlos (MESH:D004535), vasculitides (MESH:D014657), coronary ectasia (MESH:D004108), acute coronary syndrome (MESH:D054058), ischemia (MESH:D007511), stenoses (MESH:D003251), acute ischemia (MESH:D000208), coronary thrombosis (MESH:D003328), hemorrhage (MESH:D006470), mortis (MESH:D012298), dead (MESH:D001926), ischemic cardiomyopathy (MESH:D009202), Sudden Cardiac Death (MESH:D016757), Marfan (MESH:D008382), mycotic (MESH:D000785), infections (MESH:D007239), myocardial infarction (MESH:D009203), sudden death (MESH:D003645), myocardial ischemia (MESH:D017202), familial hypercholesterolemia (MESH:D006938), LAD thrombosis (MESH:C535887), Thrombosis (MESH:D013927), Death (MESH:D003643), tissue diseases (MESH:D003240), hypertension (MESH:D006973), occlusive (MESH:D001157), arterial hypertension (MESH:D000081029), atherosclerosis (MESH:D050197), ventricular fibrillation (MESH:D014693), myocardial necrosis (MESH:D009336), CAA (MESH:D003323), embolization (MESH:D004617), hypercholesterolemia (MESH:D006937), cardiac hypertrophy (MESH:D006332), Kawasaki (MESH:D009080), hypertrophic heart (MESH:D006331), CAE (MESH:D003324)
- **Chemicals:** cocaine (MESH:D003042), Miller (-), hematoxylin (MESH:D006416), eosin (MESH:D004801)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12935021/full.md

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12935021/full.md

## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935021/full.md

---
Source: https://tomesphere.com/paper/PMC12935021