The mural left anterior descending coronary artery, strenuous exercise and sudden death

A. R. Morales, R. Romanelli, R. J. Boucek

Research output: Contribution to journalArticle

229 Scopus citations


Postmortem studies of three ostensibly healthy persons whose unheralded death occurred incidental to strenuous exercise revealed an unobstructed but mural left anterior descending (LAD) artery, diminished vascularity to the posterior left ventricle and ventricular septum, and morphologic evidence of patchy, ischemic necrosis of the ventricular septum in different stages of healing. Although mural coronary arteries are considered a normal anatomic variant, our observations, coupled with reported clinical studies strongly suggest that systolic constriction of the LAD artery may precipitate death in selected subjects.

Original languageEnglish (US)
Pages (from-to)230-237
Number of pages8
Issue number2
StatePublished - Jan 1 1980


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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