Sudden Death in a Child: The Mystery Behind the Cardiac MassCorrespondence Address :
Dr. Neethu Tony Mampilly,
CRRA-9, 37/3292, Cherupilly Road, Kaloor, Cochin-682017, Kerala, India.
A 12-year-old boy suddenly collapsed while playing and was brought to the emergency department, where he was declared dead. The child had no prior medical illness. On autopsy examination, a dumbbell shaped mass was found in the right atrioventricular sulcus on the anterior and posterior aspects. Microscopic examination of the mass revealed a thrombus within the wall of right coronary artery. Careful examination of the epicardial tissue close to the thrombus revealed a granulomatous vasculitis of the right coronary artery, with involvement of the root of aorta. A possible diagnosis of Takayasu’s arteritis was rendered. Vasculitis is the inflammation of the blood vessels. Kawasaki’s and Takayasu’s arteritis are the most common ones affecting the vessels of the heart. Takayasu’s arteritis or “pulseless” disease is a rare, idiopathic, chronic granulomatous vasculitis that affects aorta and its major branches. The rarity of its occurrence and clinical presentation as a thrombus masquerading as cardiac tumour is unusual and hence reported.
Paediatric vasculitis, Sudden cardiac death, Takayasu’s arteritis
Neethu Tony Mampilly, Gayatri Ravikumar, Betty Alben, Julian Crasta. SUDDEN DEATH IN A CHILD: THE MYSTERY BEHIND THE CARDIAC MASS. Journal of Clinical and Diagnostic Research [serial online] 2019 January [cited: 2019 Jan 23 ]; 13:ED08-ED10. Available from
Date of Submission: Aug 01, 2018
Date of Peer Review: Sep 06, 2018
Date of Acceptance: Oct 26, 2018
Date of Publishing: Jan 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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