Introduction:

Atherosclerosis is a disease that begins with the union of the ovum and sperm. It develops over time in close relationship with lifestyles, and it is among the first basic causes of death worldwide. In order to prevent and face its terrible consequences it is necessary to learn about it from the beginning.

Objective:

To characterize the atherosclerotic coronary arteries in pediatric violent death.

Methods:

This is an observational, cross-sectional study focused on 32 pediatric deaths. We reviewed the legal medical autopsies. The coronary arteries were analyzed qualitatively and quantitatively by the atheometric system.

Results:

Adipose striae and fibrous plaques of the three main coronary sectors were presented in these 32 subjects. The severe plaques were not present in the study in any of the groups. We found adipose striae from an early age and reached higher values as age increased. The anterior descending arterial sector had the most fat streaks and fibrous plaques.

Conclusions:

This study found irrefutable evidence of atherosclerotic lesions from very early stages of life, which intensify as age advances. The most affected artery was the anterior descending artery.

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