An 18-Year-Old Man Suddenly Collapses During a High School Soccer

An 18-year-old man suddenly collapses during a high school soccer game.  There was no preceding collision or trauma.  Immediate resuscitation is initiated but he dies before the emergency medical service arrives.  The patient had recently experienced occasional exertion-related chest discomfort and dyspnea.  Otherwise, he had no significant medical history.  He took no medications and did not use tobacco, alcohol, or illicit drugs.  Which of the following is most likely to be seen on autopsy?

A) Atherosclerotic narrowing of the left anterior descending artery
B) Dilation of all cardiac chambers with thin ventricular walls
C) Extracellular deposits and stiff ventricular walls
D) Myocardial hypertrophy with patchy interstitial fibrosis
E) Thrombus at the bifurcation of the main pulmonary artery

Correct Answer:

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