| Death Related to Aortic Coarctation in a Young Female During Sexual Intercourse. | |
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MedLine Citation:
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PMID: 21554311 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Coarctation of the aorta (CA) is diagnosed mainly in pediatric patients, and therapy is conservative if asymptomatic, but surgical treatment is required if advanced arterial hypertension is present. Moderate to severe forms contraindicate any type of physical activity requiring cardiac effort. Here, we describe the first documented death of an apparently healthy 35-year-old woman because of cardiac tamponade by rupture of an aortic aneurysm, possibly related to congenital CA, prolonged use of oxymetazoline hydrochloride, and physical and/or emotional stress during sexual activity. Our patient was asymptomatic for classical CA symptoms. The patient's breathing difficulties likely in hindsight were due not so much to nasal congestion, but rather to an ineffective oxygenation of the blood from the abnormal heart. In an attempt to treat the "nasal disease," the patient ingested chronic and excessive doses of decongestants, aggravating her fatal disease. The danger of inhaling large doses of nasal decongestants without an appropriate medical indication is highlighted here. |
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Authors:
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Fabio De-Giorgio; Paolo Di-Giannantonio; Giuseppe Vetrugno; Vincenzo Arena |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-6 |
Journal Detail:
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Title: Journal of forensic sciences Volume: - ISSN: 1556-4029 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375370 Medline TA: J Forensic Sci Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 American Academy of Forensic Sciences. |
Affiliation:
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Institute of Legal Medicine, Catholic University, Medical School, Largo F. Vito, 1, 00168 Rome, Italy. Institute of Medical Directorate, Catholic University, Medical School, Largo F. Vito, 1, 00168 Rome, Italy. Institute of Pathologic Anatomy, Catholic University, Medical School, Largo F. Vito, 1, 00168 Rome, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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