Myocardial infarction with normal coronary artery (MINCA): A sudden death case report in forensic practice

Shahrom Abd Wahid, A. Z. Khairul, H. Zarida, Shafee @ Aung Thu Ya Mohd Swarhib

Research output: Contribution to journalArticle

Abstract

Death attributed to myocardial infarction associated with normal coronary artery is uncommon. It is even rare when the death occurs during an uneventful pregnancy. We report a 29 year-old lady in her first pregnancy at 32 weeks gestation, suddenly collapsed at home and died at the hospital. She was neither known to have significant medical illness nor eventful antenatal records prior to her death. No family history of cardiac rhythm disturbances was noted. The main coronaries were patent but there were foci of fibrosis within the left ventricular wall of the heart. Histopathological examination of the heart showed multiple infarcts of varying ages as well as mature fibrotic scars. No inflammatory signs were detected at autopsy. This case illustrates an extremely rare cause of sudden and unexpected death during pregnancy attributed to myocardial infarction with normal coronary arteries (MINCA). It emphasizes the need for a full autopsy examination in such cases. It also highlights that certain pregnant mothers may show minimal or no symptoms of illness despite the presence of a life-threatening disease.

Original languageEnglish
Pages (from-to)54-57
Number of pages4
JournalJournal of Forensic Medicine and Toxicology
Volume25
Issue number1
Publication statusPublished - Jan 2008

Fingerprint

Sudden Death
Coronary Vessels
Myocardial Infarction
death
pregnancy
Pregnancy
Autopsy
illness
examination
genealogy
patent
Cicatrix
Fibrosis
Disease
cause

Keywords

  • Coronary angiogram
  • MINCA
  • Myocardial infarction
  • Pregnancy
  • Sudden unexpected death

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Toxicology

Cite this

Myocardial infarction with normal coronary artery (MINCA) : A sudden death case report in forensic practice. / Abd Wahid, Shahrom; Khairul, A. Z.; Zarida, H.; Mohd Swarhib, Shafee @ Aung Thu Ya.

In: Journal of Forensic Medicine and Toxicology, Vol. 25, No. 1, 01.2008, p. 54-57.

Research output: Contribution to journalArticle

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