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June 1950

ANOMALIES OF CORONARY ARTERIES: Report of Two Cases, with Comment on the Dynamics of Development of the Coronary Circulation

Author Affiliations


From the Kettering Laboratory, University of Cincinnati, and the Coroner's Office of Hamilton County, Ohio.

Arch Intern Med (Chic). 1950;85(6):955-965. doi:10.1001/archinte.1950.00230120064006

ANOMALIES of development of the coronary arteries are not uncommon, and defects similar to the two described herein have been reported previously.1 The presentation of these cases together was stimulated by the contrasting effects of the abnormal coronary arteries on the myocardium in the two cases.


Case 1.  —A white male infant, 5 months of age, was irritable and cried considerably during one morning; his temperature was 100.4 F. Early in the afternoon, he became stuporous, and a physician was called, but the baby was dead when the physician arrived.The infant had been seen by the doctor four days before his death, and no abnormalities were noted during a complete examination at that time. After the death of the baby, the grandmother stated that he had been irritable and that his cry had been weak for two or three weeks prior to his death. The