This is the Autopsy Report & Death Certificate of Kareem Maktoof Adama, a detainee who died in US custody. It is reported that Mr. Adama was found unconscious, breathless and without a pulse in his prison cell. The Report states that Mr. Adama was not eating the day he died, and had earlier complained of abdominal pain. Cause of Death: Anomalous Right Coronary Artery Complicated by Atherosclerotic Cardiovascular Disease; Manner of Death: Natural.