STATEMENT ON BEHALF ANTON BLACK FAMILY January 24, 2018 8:00 am. Attorneys for the family of Anton Black released the following statement this morning along with a copy of the autopsy provided to them yesterday evening by the Maryland Of?ce of the State Medical Examiner. The following is a statement from the family lawyers, Rene? C. Swafford of the law offices of Rene? Swafford and Timothy F. Maloney of Joseph, Greenwald and Laake, PA: Anton Black died in police custody on September 15, 2018. Yesterday, 115 days after his death, his family was ?nally provided with a copy of autopsy, even though the autopsy was completed the day after his death and the cardiac consultation was completed on November 1, 2018. The family is releasing the aut0psy now. The family hopes that by making the autopsy public, it will help lead to the truth about why and how Anton died. As part of the autopsy, extensive toxicology screens were conducted. The toxicology screen was not positive for any controlled dangerous substances. The family of Anton Black demands an apology from the law enforcement of?cials who told the media that drugs were likely a factor in his death. The autopsy also documents in shocking detail the extensive blunt trauma as a result of the excessive force of the of?cers who chased Anton Black and restrained him. The autopsy documents more than 43 blunt trauma wounds: 3/8? red abrasion on the right side of the forehead ?multiple abrasions up to on the nose ?a V2, 3/16? red purple abraded contusion on the left eyelid -a 1/16? red abrasion lateral to the left 1 V: 5/8? red/tan abrasion on the right side of the face ?a 3/16? red abrasion below the left naris of the nose ?multiple red abrasion up to below the left corner of the mouth --two red abrasions on the right lateral inner upper lip --multiple red abrasions, up to 3/16? on the left lateral inner upper lip --multiple red abrasions up to 3?16? on the right lateral inner low lip -a 1/8? red abrasion on the left lateral lower lip 3/16? red abrasion on the left medial inner lower lip 1/8? red-purple abraded contusion on the left lateral inner lower lip 3/8 red-purple abraded contusion on the right lining of the cheeks (right buccal mucosa) 1/8? red-purple abraded contusion on the right lining of the cheeks (right buccal mucosa) --two 1/16? brown abrasions on the helix (rim) of the left ear ?multiple red abrasions and purple contusions up to 1/2? on the inner left ear ?multiple red abrasions and purple contusions up to l/ behind the left ear and on the neck red-purple abraded contusion was on the left anterior base of the neck red abrasion on the left posterior neck ?multiple linear brown crusted abrasions up to 7/8? on the right upper back --multiple linear brown crusted abrasions up to on left upper back --multiple purple contusions up to 18? on le? upper back --2 V: 2? subcutaneous hemorrhages on the mid upper back 1 1/2 1? subcutaneous hemorrhage on the mid upper lumbar area ?purple contusions up to 3/17? on the anterior right shoulder ?multiple purple contusions up to 1? on the medial right arm --multiple linear red abrasions up to 3/8? on the right forearm ?a 1/16? brown abrasion on the right wrist -multiple purple contusions up to 3/ 16? on the right shoulder ?multiple purple contusions up to l? on the right arm ?multiple linear red abrasions up to 3/8? on the right forearm 1/16? brown abrasion on the right wrist --two red abrasions the left shoulder --multiple red abrasions up to 3/8? on the left forearm 5/16 3/16 red purple abrasion on the left wrist --three red abrasions each 1/ 16? on the left hand 1/8? brown abrasion on the posterior left middle ?nger 1/8? red abrasion on the left index ?nger 2/12 red abrasion on the right thigh 3A red abrasion on the right knee ?two 318 brown crusted abrasions on the top of the right foot --rnultiple brown crusted abrasions up to 3/16? on tap of the le? foot Additionally, a taser dart without attached wire was found in the left buttock. The wound track of the taser indicated it penetrated through half an inch of skin and was accompanied by a fascia] hemorrhage of almost two inches by inch. These extensive injuries are well-documented in the autopsy report. There was no good reason for these of?cers to in?ict this degree of force upon Anton Black, or even to arrest him. He was no threat to any of them. Yesterday, the media was ?nally shown the body camera footage of Anton Black?s ?nal minutes of life. The State?s Attorney for Caroline County had previously shown the video to lawyers for the family. The family calls for the Town of Greensboro to publicly release of the ?ll video now without redactions. The video shows Anton Black being chased by a Greensboro of?cer and others without any cause to arrest him. When Anton sought refuge on his own property ?rst at his home, which was locked, and then in a family vehicle, the Greensboro of?cer, Thomas W. Webster IV, used his baton to smash open the window. He then attempted to shock Anton Black with his taser through the window he had just broken. Anton then attempted to escape through the other car door. Webster, of?cers from other departments, and a civilian forced Anton Black to the ground, and attempted to place him in ankle restraints and handcuffs. Seconds later, Black became unresponsive. He was later pronounced dead at a local hospital. The state autopsy concluded that Anton Black suffered from sudden cardiac arrest. It also concludes that it is ?likely that the stress of the struggle? contributed to his death. 6) The autopsy documents the stress of the struggle, including more than 43 blunt force trauma wounds. The autopsy also concluded that Anton Black suffered ?'om congenital heart problems, including anomalous right coronary artery and myocardial tunneling, which the medical examiner apparently believes made him more susceptible to cardiac arrest under these circumstances. This matter will be examined further by the family?s medical experts. But any congenital heart issues that may have existed would not excuse police of?cers responsibility for a death which occurs as a result of wrongful arrest or excessive force. Under Maryland law, police officers are responsible for the death of anyone they wrongfully injure who is vulnerable to injury and susceptible to cardiac arrest. The autopsy references bipolar disorder. The medical examiner is not quali?ed to make a diagnosis of bipolar. The medical examiner performs pathological examination of the deceased, not mental examinations of the living. In any event, Anton Black did not die because of any mental condition. He died because the stress of multiple blunt trauma in?icted upon him as part of a wrongful arrest and wrongful use of excessive force. The autopsy mischaracterizcs Anton Black?s death as ?accidental.? There was nothing accidental about the police conduct here. Officer Webster made an intentional and wrongful decision to arrest Anton Black, who had committed no crime. Of?cer Webster, the other of?cers, and the civilian made intentional decisions to use the degree of force they did which led to Anton Black?s death. These were not accidents. The ultimate issue here is whether Of?cer Webster had probable cause to arrest Anton Black and whether he and the other officers used excessive force in attempting to effectuate that arrest. Officer Webster had no probable cause to arrest Anton Black. He had committed no crime. He was playing with his longtime friend. He was not ?kidnapping? him as Officer Webster falsely stated. There was no reason for Of?cer Webster, of?cers from other departments, and a civilian to chase Anton Black into his own property, where he sought re?ige in a family car. There was no reason for Of?cer Webster to smash the window of the family car with his baton. There was no reason to tase him. There was no reason for the of?cer to tackle him, restrain him and shackle him. There was no reason to in?ict 43 blunt trauma wounds on Anton Black. There was no reason for Anton Black to die. The family of Anton Black seeksjustice for his death. They request the Caroline County State?s Attorney to convene a grand jury as part of his ongoing investigation into the death of Anton Black. The family is also conducting an independent review of the forensic and medical evidence in conjunction with civil rights claims arising from the death of Anton Black. Contact: Rene? C. Swa??ord, Esq. Law Of?ces of Rene? Swafford 410-482-4794 Timothy F. Maloney, Esq. Joseph Greenwald Laake, PA 301-254-8531 Attachment: Autopsy . Name: ANTON MILBERT L. BLACK 1 POST MORTEM EXAMINATION REPORT PAGE I, OFFICE or THE CHIEF MEDICAL EXAMINER Case Number: 18-11079? i STATE or MARYLAND 1 11.41 An?btitopsy was performed on the body of ANTON MILBERT L. BLACK at the Of?ce of the Chief Medical Examiner for the State of Maryland on the 16'11 day of September 2018. . r. EXTERNAL EXAMINATION The body was that of a well-developed, well-nourished, adult black male. The body was received unclad. The body weighed 159 pounds, was 5?9" in length and appeared compatible with the reported age of 19 years. The body was cool. Rigor was fully ?xed in the extremities and jaw. Fixed purple liver mortis was on the posterior surfaces of the body, except in areas exposed to pressure. The scalp hair was black, curly, and arranged in moderately long braids. Facial hair consisted of a black mustache and tuft of hair on the chin. The irides were brown. The comeae were clouded. The conjunctivae were congested with a few petochiae on the right lateral bulbar conjunctivae. Two hemorrhages, and If 16?, were on the left lower lateral bulbar conjunctiva. Otherwise the sclerae were white. Bloody ?uid was at the mouth and nares. The external auditory canals were free of foreign material and abnormal secretions; The nasal skeleton was palpany intact: The-lips were normally formed. The anterior teeth were natural and in adequate condition. No oral petechiae were noted. No petechiae were on the facial skin. The neck organs were in the midline position and appeared normally formed. The chest was unremarkable. The abdomen was ?at. Small scars were on the back and extremities. The upper and lower extremities were symmetrical and without absence of digits. The ?ngernails were short, clean, trimmed and intact. No tattoos were identi?ed. The external genitalia were those of an adult circumcised male. The testicles were bilaterally descended within a dried scrotum. The posterior torso was without note. The arms was unremarkable. EVIDENCE OF THERAPY Evidence of medical intervention included: an orotracheal tube; de?brillator pads on the chest; bilateral chest tubes; a decompression catheter in the right side of the top of the chest; a peripheral intravenous catheter in the right antecubital these; and a peripheral intravenous catheter in the posterior right hand. Multiple red-brown abrasions, up to on the mid- chest were consistent with injuries due to resuscitative efforts. EVIDENCE OF INJURY I. BLUNT FORCE TRAUMA A U2 red abrasion was on the right side of the forehead. A 11?8" red abrasion was on the left side of the forehead. Multiple red abrasions, up to were on the nose. A 1/2 3/16" red-purple abraded contusion was on the lateral left upper eyelid. A 12'16? red abrasion was just lateral of the left eye. A 1-1/2 red?tan abrasion was on the right side of the face. A 3f16" red abrasion was just below the left naris of the nose. Multiple red abrasions, up to 54", were just below the left corner of the mouth. Two red abrasions, each were on the right lateral inner upper lip. Multiple red abrasions, up to were on the left lateral inner upper lip. Multiple red abrasions, up to 3! 16", were on the right lateral inner lower lip. A red abrasion was on the left lateral lower lip. A 3116? red abrasion was on the left medial inner lower lip. A 3/1: 1/8? area of red-purple abraded c0ntusion was on the left lateral Name: ANTON MILBERT L. BLACK Case Number: 18-111le II. POST MORTEM EXAMINATTON REPORT .. ,olsugot: or THE CHIEF MEDICAL EXAMINER i . . STATE or MARYLAND -- ll LI i PAGE inner lower lip. A BIS If red-purple abraded contusion and a purple contusion were on the right buccal mucosa. Two brown abrasions, each were on the helix of the left ear. Multiple red abrasions and purple contusions, up to 1:22", were on the inner aspect of the left ear. Multiple red abrasions and purple contusions, up to 118", were just behind the left ear and on the adjacent posterolateral neck. A 3/8 red-purple abraded contusion was on the left anterior base of the neck. A red abrasion was on the left posterior neck. Multiple linear brown crusted abrasions, up to 718?, were on the right upper back. Multiple linear brown crusted abrasions, up to l! and purple contusions, up to 118?, were on the left upper back. Cut-downs were performed along the posterior neck, back and extremities. A 2-1r'2 2? area of subcutaneous hemorrhage was on the mid upper back; no underlying muscle hemorrhage, contusion or other injury was noted, and no fractures were noted. A 1-11? 1? area of subcutaneous hemorrhage was on the mid upper lumbar area; no underlying muscle hemorrhage, contusion or other injury was noted. A few purple contusions, up to were on the anterior right shoulder. Multiple purple contusions, up to were on the medial right arm. Multiple linear red abrasions, up to 3l8?, were on the posteromedial right forearm. A 1/16? brown abrasion was on the posterolateral right mist. Two red abrasions, 1-112 1/2? and 1 were on the top of the left shoulder. Multiple linear red abrasions, up to were on the posteromedial distal left forearm. A Sf 16 3f16" red-purple abraded contusion was on the posteromedia] left wrist. Three red abrasions, each 1/16?, were on the posterior left hand. A brown abrasion was on the posterior left hand. A purple contusion with adjacent red abrasion was on the posterior left middle ?nger. A red abrasion was on the posterior left index ?nger. Cut-downs of the wrists revealed no hemorrhage, contusions, or other abnormalities within the soft tissues and muscles of the wrists. A 2-1/2 3/4? red abrasion was on the anterolateral right thigh. A 3M red abrasion was in the anterior right knee. A 38 1/4" red abrasion was on the medial right ankle. Two brown crusted abrasions, 1/8? and 1! were on the top of the right foot. Multiple brown crusted abrasions, up to 3/16", were on the top of the left foot. Cut-downs of the ankles revealed no hemorrhage, contusions, or other abnormalities within the soft tissues and muscles of the ankles. TASER A TASER dart without attached wire was in the left buttock; a 1-1! segment of the dart extended out from the skin of the buttock. When removed from the buttock, the dart consisted of a long base with attached l/z? barbed end. The taser wound in the left buttock consisted of a puncture mark with two linear red abrasions, each arranged in a semicircular pattern along the medial edge. A 1/3? purple contusion was just lateral to the puncture mark. A 1 pressure mark extended superomedially from the puncture wound. The hemorrhagic wound track of the dart extended kl? through the subcutaneous tissue and was associated by a 1-7/8 Name: ANTON MILBERT L. BLACK POST EXAMINATION REPORT PAGE ., (llililcli 0E THE CHIEF MEDICAL EXAMINER Case Number: 18-11U7fl I - I OF MARYLAND 3 326;? area of fascial hemorrhage on the underlying muscle of the buttock. Sectioning of the muscle revealed hemorrhage on the surface of the muscle, but not extending into the substance of the muscle. INTERNAL EXAMINATION BODY CAVITIES: The body was opened by the usual thereon-abdominal incision and the chest plate was removed. No adhesions or abnormal collections of ?uid were in any of the body cavities. All body organs were in the normal anatomic position. HEAD: (CENTRAL NERVOUS SYSTEM) The scalp was re?ected. The calvarium of the skull was removed. The dura mater and falx cerebri were intact. There was no'e'pidural or? subdural hemorrhage. Further deacription of the brain, dam and spinal cord will be given within the "Neuropathologr Report". The brain weighed 1400 grams. NECK: A layered anterior neck dissection revealed no hemorrhage, contusion or other abnormalities within the snap muscles, soft tissues and large vessels of the anterior neck The hyoid bone and larynx were intact. A posterior neck dissection revealed no hemorrhage, contusion or other abnormalities within the soft tissues or muscles of the posterior neck; the bony elements of the posterior neck were intact. CARDIOVASCULAR SYSTEM: Further description of the heart will be given within the "Cardiovascular Pathology Report". The aorta and its major branches arose normally, followed the usual course and were widely patent, free of signi?cant atherosclerosis and other abnormality. The vena cava and its major tributaries returned to the heart in the usual distribution and were free of thrombi. The heart weighed 390 grams. RESPIRATORY SYSTEM: The upper airways were clear of debris and foreign material; the mucosal surfaces were smooth, yellow-tan and unremarkable. The pleural surfaces were smooth, glistening and unremarkable. The pulmonary was red-purple and congested, exuding mild amounts of blood and frothy ?uid; no focal lesions were noted. The pulmonary arteries were normally developed, patent and without thrombus or embolus. The right lung weighed 520 grams; the left 340 grams. LIVER BILIARY SYSTEM: The hepatic capsule was smooth, glistening, intact, and covered a dark red-brown with no focal lesions noted. The gallbladder contained 20 mL of green-brown, mucoid bile; the mucosa was velvety and unremarkable. The exh?ahepatic biliary tree was patent, without evidence of calculi. The liver weighed 1710 grams. ALIMENTARY TRACT: The tongue exhibited no evidence of recent injury. The esophagus was lined by a gray-white, smooth mucosa. The gastric mucosa was arranged in the usual rugal folds and the lumen contained 200 mL of dark brown liquid. Name: ANTON MILBERT L. BLACK POST MORTEM EXAMWATION REPORT PAGE OFFICE OF THE CHIEF MEDICAL EXAMINER Case Number: 18-11079 STATIE OF MARYLAND 4 The gastric mucosa was diffusely congested, but no ulcers or perforations were noted. The small and large bowels were unremarkable. The pancreas had a normal pink-tan lobulated appearance and the ducts were clear. The appendix was unremarkable. GENITOURINARY SYSTEM: The renal capsules were smooth and thin, semi?transparent and stripped with case from the underlying smooth, red-brown cortical surfaces. The cortices were sharply delineated from the medullary pyramids, which were red- purple and unremarkable. The calyees, pelves and ureters were unremarkable. The urinary bladder contained 20 mL of yellow urine; the mucosa was gray-tan and smooth. The prostate gland was without note. The right kidney weighed 150 grams; the left 150 grama. RETICULOENDOTHELIAL SYSTEM: The spleen had a smooth, intact capsule covering a red-purple, soft the follicles were unremarkable. There'gional nodes appeared normal. The spleen weighed 120 grams. ENDOCRINE SYSTEM: The thyroid and adrenal glands were unremarkable. MUSCULOSKELETAL SYSTEM: Muscle development was normal. No bone or joint abnormalities were noted. The neck was stable on internal palpation. No fractures were noted within the ribs or spine. Cut?downs were performed along the back, and no hemorrhage, contusions or other abnormalities were noted, except as previously described; no fractures were noted. Cut-downs were performed along the upper and lower extremities; no hemorrhage, contusions or other abnormalities were noted. No hemorrhage, contusions or other abnormalities were noted within the wrists or ankles. MICROSCOPIC Lungs: Sections of the lungs showed congestion, edema and inns-alveolar hemorrhage. Scattered clumps of bacteria without an associated in?ammatory response likely represent post-mortam overgrowth. Mild, mostly chronic in?ammation was around some airways, and increased mucus was noted within some airways; asthmatic type changes were not prominent. Airways: Sections of the trachea and mainstem showed focal submucosal congestion and hemorrhage. Liver: A section of the liver showed no signi?cant histopathology. Kidney: A section of a kidney showed autolysis and congestion. Pancreas: A section of the pancreas showed focal autolysis and no significant histopathology. Stomach: Sections of the stomach showed congestion and focal chronic in?ammation. Spleen: A section of the spleen showed no signi?th histopathology. Adrenal Gland: A section of an adrenal gland showed no signi?cant histopathology. Skin: A section of the skin from the left buttock at the site of the TASER dart showed focal submucosal hemorrhage. Name: ANTON MILBERT L. BLACK Case Number: 18-1 101'9 IV. VI. VII. OFFICE OF THE CHIEF MEDICAL EXAMINER POST MORTEM EXAMINATION REPORT Ii OF MARYLAND PATHOLOGIC DIAGNOSES Anomalous Right Coronary Artery Arising from Single Common Ostium above Le? Coronary Sinus of Valsaiva PAGE Myocardial Tunneling, Mid Le? Anterior Descending Coronary Artery, 18 mm long and up to 7 mm deep Abrasions and Contusions of the Head, Back and Extremities Taser Probe within Le? Buttock Petechiae and Hemorrhages of the Eyes Pulmonary Congestion, Edema and Hemorrhage Chronic Gastritis History of Bipolar Disorder Name: ANTON MILBERT L. BLACK POST MORTEM EXAMINATION REPORT PAGE OFFICE OF THE CHIEF MEDICAL EXAMINER Case Number: 13?11079 STATE OF MARYLAND 6 OPINION: This 19-year-old black male, ANTON MILBERT L. BLACK, died of SUDDEN CARDIAC DEATH due to ANOMALOUS RIGHT CORONARY ARTERY AND MYOCARDIAL TUNNELING OF THE LFET ANTERIOR DESCENDING CORONARY ARTERY. A significant contributing condition was bipolar disorder. Per report, on 91'151'18 at 7:10 pm law enforcement received a phone call that a man was physically restraining a child. Upon arrival at 7:13 pm, an of?cer arrived at the scene and saw the decedent restraining a child. The officer asked the decedent to release the child which he did. The decedent then ran away. He was pursued and 2 minutes later he entered an auto and locked the doors. An officer used a baton to break the driver?s side window. The of?cer reportedly ?red a TASER through the broken window, but the TASER was described as having no effect. The decedent exited the auto and became involved in a physical altercation with of?cers. The decedent was placed prone on a handicap ramp leading to a residence. Three of?cers and a civilian were involved in restraining the decedent. video of the incident shows an of?cer lying across the decedent's back at one point. One of?cer stated that he assisted in restraining the decedent by placing his knees on the decedent?s shoulder, with his right knee on the left shoulder blade area at one point. Handcuffs were applied. Approximately 3 minutes after the physical altercation started, the decedent told his mother that he loves her. Approximately 4 minutes later of?cers applied leg restraints; the decedent was noted by of?cers to not be actively struggling after the application of the leg restraints. Approximately 1 minute after the legs were restrained, the decedent was noted to be unresponsive, but breathing and with a pulse. Of?cers rolled him on his side and then placed him in a sitting position. Approximately 2 minutes later his mother noted that ?he is turning dark?. Of?cers then removed the hand cuffs, placed him on his back, and started CPR I minutes after the physical altercation started). Emergency medical services reaponded to the scene and continued CPR (including use of a LUCAS device). He was transported to a hospital, but died despite resuscitative efforts. There was no evidence (based on a review of of?cer interviews and a video of the incident) that the decedent was physically struck by of?cers, or had force applied to his neck. Reportedly, he may have recently smoked ?spice?. Per his medical record, he had recently been involuntarily hospitalized and diagnosed with bipolar disorder. No other medical history was reported. Based on a review of the investigation and autopsy findings, it is likely that the stress of his struggle contributed to his death. However, no evidence was found that restraint by law enforcement directly caused or contributed to the decedent's death: in particular, no evidence was found that restraint led to the decedent being The manner certi?ed as accidentRussell Alexander. Mali I David R. Fowler, Assistant Medical Examiner Chief Medical Examiner Date signed: f] 2.3 THIS IS A CERTIFIED COPY OF RECORDS OF THE OFFICE OF THE CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT Name: Anton Milbert L. Black Case 18-11079 Sex: Male Age: 19 Race: African American Medical Examiner: Dr. Alexander Date of Death: September 15, 2018 MACROSCOPIC EXAMNATION of October 10, 2018 Brain Weight: 1600 grams (?xed) Dura: Free of hemorrhage. Superior sagittal sinus is patent. Brain: The cerebral hemispheres are symmetrical, the gym! pattern is normal, and the leptomeninges are translucent. At the base of the brain, blood vessels are free of atherosclerosis or malformation. Cranial nerves are normal. The brainstem and cerebellum are externally within normal limits. External examination of the brain reveals no recent or remote trauma. On coronal sections. the cerebral hemiSpheres are symmetrical. The cortical gyri are normally developed. The cortex is of normal thickness and well-demarcated from subjacent white matter. The volume and myelination of the white matter are normal. The corpus callosum and anterior commissure are of normal caliber. Basal ganglia, thalamus and hypothalamus are normal. The ventricular system is of normal shape and size. Hippocampal formations and entorhinal cortices are normal. In the midbrain, the aqueduct is patent and the substantia nigra is normally pigmented for age. Pons has no abnormality of the tegmentum or basis. Medulla is normal. The cerebellum shows normal folia, white matter, and deep nuclei. Spinal Cord: The entire spinal cord. measuring 23.0 cm in length, is available for examination. The dura is free of hemorrhage. External examination of the cord and horizontal sections are unremarkable. Summary: 1. Normal brain. 2. Normal spinal cord. Comment: This specimen shows no sign of remote or recent trauma. Microscopic sections are pending. 09? 00%5?2 .. 1,0501 (2- O?tclal Document Ifjuan-aT-m?bi. . DO Remove Neuropathologist I. cs From File MGM NEUROPATHOLOGY REPORT Name: Anton Milbert L. Black Case 18-11079 Date of Death: September 15, 2018 3 .i Medical Examiner: Dr. Alexander MICROSCOPIC EXAMINATION of November 8, 2018 Microscopic sections of the superior frontal cortex, basal ganglia, hippocampal formation, medulla, cerebellum and spinal cord show no abnormality. In the cerebellum thereis postmortem autolysis. fr? 11 20/37 Official Document whammy?4g. a?signed Do Not Remove A ?inan.C.Tr-oncoso, M.D. . Neuro athologist From 9 cs PATIENT IDENTIFICATION Institute, inc. CAP 5105 BLACK, Anton Milbert L. OF 18-1 1079 November 1, 20] 8 Russell Alexander, MD. Of?ce of the Chief Medical Examiner 900 West Baltimore Street Baltimore, MD 21223 FINAL DIAGNOSIS DIAGNOSIS: 1841079 Autopsy, heart: I. Anomalous right coronary artery arising from single common ostium above left coronary sinus of Valsalva 2. Myotcardial tunnel, mid LAD, 18 mm long and up to 7 mm deep History: 19 year old black male, 159 lbs, was reportedly involved in possible child abduction; police were called, chased the subject on feet, then tazed and handcuffed him; placed in seated position leaning against a wall and went into cardiac arrest. Heart: Received formalin ?xed, 380 grams; normal epicardial fat with rare epicardial hemorrhage (2-Smm) overlying the anterior le? ventricle at mid to apex level; closed foramen ovale; normal cardiac chamber dimensions: left ventricular cavity diameter 37 mm, left ventricular free wall thickness 12 mm, ventricular septum thickness 12 mm, right ventricle thickness 3 mm; le? atrial endocardial ?brosis; fenestration of the right coronary cusp myxomatous thickening of all three aortic valve lea?ets with mild and RCCIN CC commissural fusion; no gross myocardial ?brosis or necrosis; histologic sections show unremarkable myocardium without inflammation, necrosis or cardiomyopathic features Coronary arteries: Anomalous take?off of the right coronary artery from a slit-like common left coronary ostium; right dominance; 13 mm span of mid left anterior descending (MLAD) tunneling into the left ventricular myocardium up to 3? mm deep; no gross atherosclerosis; a section of the tunneled mid LAD shows histologically normal artery Conduction system: The sinoatrial node and sinus nodal artery are unremarkable. The compact atrioventricular (AV) node, penetrating bundle and left bundle branch are intact without in?ammation, increased fat or proteoglycan. There is no of the AV nodal artery. There are no discernible accessory conduction pathways. 19 First?elcl RQ 20878 13160.0 203-3570 Fax (301) 208-3745 (9 Path mm gr 5105 Aulgn Milbert L- Superior cplcardial View ofxighl coronary artery (RCA) and left main coronary may arising from a Common oslium. opened garlic root shows single oslium at level ofsinutubularjuncfion above [an coronary sinus lh- Vinnani, PL'csidan Insulutc Blocks mm a (5 heart, I coronary anery) madn' 7 (6 1 Mom!) 5 Scpmuhcl 2mm Case wmplucd: November 13.013 '1 (Id/g 19 Fimficld Road MD 20878 208-3570 - Flu: (301) 208-3745 OFFICE OF THE CHIEF MEDICAL EXAMINER STATE OF MARYLAND 900 W. BALTIMORE STREET BALTIMORE. MD 21223 Case# 13-11079 Deceased Name if Previous Unknown Medical Examiner TOXICOLOGY REPORT OF FINDINGS Lah# 18-4390 Black, Anton Mlibert L. Russell Alexander MD. Autopsled by Russell Alexander MD. Jurisdiction Talbot Specimen Submitted Test Results Blood Femoral Volatiles Ethanol Negative Urine Test (comprehensive) Neg?li?lfe Blood Heart Drug Test [Individual] Alkaline Extracteble Drugs Negative Blood Heart NMS Labs Cannabinoids UFT 1341079 Additional Toxicology ?1i23i19 Toxicologlst Rehecca Phipps Medical Examiner Russell Alexander MD. Digitally Signed 01I23i?19 Wednesday, January 23, 2019 Digitally Signed 01f23l19 13:3? Page 1 of 1 OFFICE OF THE MEDICAL EXAMINER STATE OF MARYLAND TOXICOLOGY 900 W. BALTIMORE STREET ?021223 REPORT OF FINDINGS Case 18-11079 Lab 18-4390 Deceased Name Black, Anton Mlibert L. if Previous Unknown Medical Examiner Russell Alexander NLD. Autopsied by Russell Alexander M.D. Jurisdiction Talbot Specimen Submitted Test Results Blood Femoral Volatiles Ethanol Nagathe Urine Drug Test {comprehensive} Negative 18-11079 Texlceleglst Phipps Medical Examiner Russell Alexander MD. Digitally Signed 09i20l18 Digitally Signed UllOBl?lQ 03:10 Tuesday, January 08, 2019 Page 1 of 1 a;