KevinMD March 11, 2025
Throughout my residency, I’ve had the opportunity to perform autopsies on many different people from different walks of life. One case in particular stood out to me. The decedent was not in the greatest state of health at the time of death and subsequent postmortem examination. After I removed his heart from the pericardial sac and began dissecting each coronary artery in sequential tangential sections back to their origins on the ascending aorta, I was shocked to see focal luminal occlusion of over 95 percent in one of the main branches. I wasn’t expecting this severity of coronary artery disease (CAD), frequently the dominant manifestation of patients with atherosclerotic cardiovascular disease (ASCVD), in someone years younger than me. I’m now...
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