Case ReportsSudden Death Due to Isolated Segmentary Coronary VasculitisDermengiu, Dan PhD*†; Hostiuc, Sorin PhD*†; Cristian Curca, George PhD*†; Constantin Rusu, Mugurel MD, PhD‡; Paparau, Cristian†; Ceausu, Mihai PhD§∥Author Information From the *Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy; †Department of Forensic Pathology, National Institute of Legal Medicine; Departments of ‡Anatomy and §Pathology, Carol Davila University of Medicine and Pharmacy; and ∥Department of Pathology, National Institute of Legal Medicine, Bucharest, Romania. Manuscript received January 21, 2013; accepted August 25, 2013. The authors report no conflicts of interest. Reprints: Sorin Hostiuc, PhD, Department of Forensic Pathology, National Institute of Legal Medicine, No 9 Vitan Barzesti Street, 042122 Sector 4 Bucharest, Romania. E-mail: [email protected]; [email protected]. The American Journal of Forensic Medicine and Pathology: December 2014 - Volume 35 - Issue 4 - p 223-231 doi: 10.1097/PAF.0000000000000125 Buy Metrics Abstract Coronary vasculitis is a group of conditions occurring either independently or associated with another diseases characterized by an inflammation of the blood vessel’s wall and subsequent fibrinoid necrosis, occlusion, stenosis, or aneurismal dilatations. Coronary vasculitis leading to sudden cardiac death has rarely been described in the scientific literature. We present the case of an 18-year-old football player who collapsed when playing football. The patient remained in a deep coma (glasgow coma scale = 3) in the hospital for another 4 hours before dying. During hospitalization, he was diagnosed with acute anterolateral myocardial infarction with ST elevation. An autopsy was performed the next day, and on the coronary vessels were identified a dilatation with luminal extension, which, based on clinical and pathological criteria, was considered to be an isolated, coronary polyarteritis nodosa. © 2014 by Lippincott Williams & Wilkins.