کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
95359 160427 2015 4 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Unexpected death caused by rupture of a dilated aorta in an adult male with aortic coarctation
ترجمه فارسی عنوان
مرگ غیرمنتظره ناشی از پارگی آئورت متسع در یک مرد بزرگسال با coarctation آئورت
کلمات کلیدی
coarctation آئورت؛ تامپوناد قلبی؛ نکروز رسانه ای کیستیک؛ پارگی آئورت؛ توموگرافی کامپیوتری پس از مرگ؛ مرگ غیرمنتظره و ناگهانی
موضوعات مرتبط
مهندسی و علوم پایه شیمی شیمی آنالیزی یا شیمی تجزیه
چکیده انگلیسی


• Aortic coarctation may cause aortic dilatation, rupture and haemopericardium without dissection.
• Post mortem computed tomography findings could be mistaken for aortic dissection.
• The misinterpretation might be avoided with post mortem computed angiography.

Aortic coarctation (AC) is a congenital aortic narrowing. We describe for the first time the findings obtained by unenhanced post mortem computed tomography (PMCT) in a case where the death was caused by cardiac tamponade from a ruptured aneurysmal dilatation of the ascending aorta and the aortic arch without dissection combined with aortic coarctation. The patient, a 46-year-old man, was found dead at home. PMCT showed haemopericardium and dilatation of the ascending aorta and the aortic arch. This appearance led to the mistaken interpretation that the images represented a dissecting aneurysm. The autopsy showed instead a thin-walled and floppy dilatation of the ascending aorta and aortic arch with a coarctation just proximal to the ligamentum arteriosum. A longitudinal tear was found in the posterior aortic wall just above the valves. Blood in the surrounding soft tissue intersected with a large haematoma (1000 ml) in the pericardial sac. Cardiac hypertrophy (556 g) was observed in the patient, though no other cardiovascular abnormalities were found. Histological analysis showed cystic medial necrosis of the ascending aortic wall.A ruptured aneurysmal dilatation of the ascending aorta and the aortic arch without aortic dissection associated with AC is an uncommon cause of haemopericardium that has only been described a few times before. The case is discussed in relation to other reported cases and in the context of the present understanding of this condition.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Forensic Science International - Volume 254, September 2015, Pages e25–e28
نویسندگان
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