Keywords
coronary disease
dissection
How to Cite
Abstract
Aortic dissection is the most common catastrophic event affecting the aorta, which is characterized by complex clinical manifestations, and high missed and delayed diagnosis rate. Acute aortic dissection has the importance of medical emergency and is associated with a high mortality. The presented case was, 55 year-old-man who was found as dead in the shed. At autopsy on internal inspection; heart examination revealed dissection 1 cm above aortic valve surrounding full thickness and intact adventitia, also hematoma making pressure on the descending branch of left coronary artery after 1 cm from proximal resulting from dissection and full- thickness dissection in the origin of the right coronary artery and intact adventitia were observed. We aimed to discuss this interesting aortic dissection case in the aspects of medico legal literature.
References
Liu ZY, Zou YL, Chai BL, Zeng HS. Analysis of clinical features of painless aortic dissection. J Huazhong Univ Sci Technolog Med Sci. 2014;34(4):582-585. DOI: https://doi.org/10.1007/s11596-014-1319-8 [PMid:25135731]
Erbel R, Alfonso F, Boileau C et al. Task Force on Aortic Dissection, European Society of Cardiology. Diagnosis and management of aortic dissection. Eur Heart J. 2001;22(18):1642-1681. DOI: https://doi.org/10.1053/euhj.2001.2782 [PMid:11511117]
LeMaire SA, Russell L. Epidemiology of thoracic aortic dissection. Nat Rev Cardiol. 2011;8(2):103-113. DOI: https://doi.org/10.1038/nrcardio.2010.187 [PMid:21173794]
Crawford ES, Svensson LG, Coselli JS et al. Surgical treatment of aneurysm and/or dissection of the ascending aorta, transverse aortic arch, and ascending aorta and transverse aortic arch. Factors influencing survival in 717 patients. J Thorac Cardiovasc Surg. 1989;98(5):659-674.
DeBakey ME, McCollum CH, Crawford ES, Morris GC Jr, Howell J, Noon GP, Lawrie G. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery 1982;92(6):1118-1134.
Hals G. Acute thoracic aortic dissection: current evaluation and management. Emerg Med Rep. 2000;21:1.
Boie ET. Initial evaluation of chest pain. Emerg Med Clin North Am. 2005;23(4):937-957. DOI: https://doi.org/10.1016/j.emc.2005.07.007 [PMid:16199332]
Salkin MS. Thoracic aortic dissection: avoiding failure to diagnose. ED Legal Letter 1997;8(11):107-118.
Hasham SN, Willing MC, Guo DC et al. Mapping a locus for familial thoracic aortic aneurysms and dissections (TAAD2) to 3p24-25. Circulation. 2003;107(25): 3184-3190. DOI: https://doi.org/10.1161/01.CIR.0000078634.33124.95 [PMid:12821554]
Weigang E, Chang XC, Munk-Schulenburg S et al. Actual management of patients with familial ascending aneurysms and type-A aortic dissections. Thorac Cardiovasc Surg. 2007;55(1):19-23. DOI: https://doi.org/10.1055/s-2006-924575 [PMid:17285469]
Svensson LG, Labib SB, Eisenhauer AC, Butterly JR. Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. Circulation. 1999;99(10):1331-1336. DOI: https://doi.org/10.1161/01.CIR.99.10.1331 [PMid:10077517]
Hagan PG, Nienaber CA, Isselbacher EM et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897-903. DOI: https://doi.org/10.1001/jama.283.7.897 [PMid:10685714]
Bode-Jänisch S, Schmidt A, Günther D et al. Aortic dissecting aneurysms--histopathological findings. Forensic Sci Int. 2012;214(1-3):13-17. DOI: https://doi.org/10.1016/j.forsciint.2011.07.006 [PMid:21794994]
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