Document Detail


3. Sudden death due to pulmonary thromboembolism after car driving: a case report.
MedLine Citation:
PMID:  15895647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An autopsy case of sudden death due to pulmonary thromboembolism after a car trip is reported. A 56-year-old Japanese man with hypertension and atrial fibrillation suddenly died immediately after having driven for two and a half hours. At autopsy, the pulmonary arteries were found to be filled with dark-red, coiling thrombi consisting of fibrin and red blood cells. In the dilated right popliteal vein, a thrombus consisting of fibroblasts, a large number of collagen fibres, and newly formed capillaries was attached to the vessel wall. The cause of death was determined to be pulmonary embolism due to the thrombus of the right popliteal vein. Two and a half hours of prolonged sitting while driving a car encouraged thrombus formation. We believe that this case, the first autopsy case of fatal pulmonary thromboembolism after a car trip to be reported, highlights the importance of predicting venous thrombosis of the leg or fatal venous thromboembolism after a car trip.
Authors:
Masahito Hitosugi; Tetsuo Yufu; Masahito Kido; Tomoko Yokoyama; Toshiaki Nagai; Shogo Tokudome; Kensuke Joh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medicine, science, and the law     Volume:  45     ISSN:  0025-8024     ISO Abbreviation:  Med Sci Law     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-17     Completed Date:  2005-06-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400721     Medline TA:  Med Sci Law     Country:  England    
Other Details:
Languages:  eng     Pagination:  179-81     Citation Subset:  IM    
Affiliation:
Department of Legal Medicine, Dokkyo University School of Medicine, Mibu, Tochigi 321-0293, Japan. hitosugi@dokkyomed.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Automobile Driving*
Death, Sudden / etiology,  pathology*
Humans
Male
Middle Aged
Popliteal Vein*
Pulmonary Embolism / etiology*,  pathology
Venous Thrombosis / complications*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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