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Sudden coronary death–not always atherosclerotic
  1. Mary N Sheppard
  1. Correspondence to Mary N Sheppard, Department of Pathology, Royal Brompton Hospital, Sydney St, London, UK; m.sheppard{at}

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To the Editor: I wish to thank Professors Thiene and Basso for their editorial on non-atherosclerotic sudden death.1

The authors are quite right to draw attention to a neglected cause of sudden cardiac death. One cannot ignore these anomalous coronary arteries when they have an interarterial or an intramural course with ischaemic damage in the ventricle. Concerning the lipoma, I wish to emphasise that it was located in the left coronary sinus of Valsalva and was occluding completely the ostium of the left coronary artery.2

Myocardial contraction bands, I agree, are not definitive indicators of ischaemia and none of …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

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