| Death during percutaneous transluminal coronary angioplasty (PTCA) and the medicolegal aspects. | |
| | |
MedLine Citation:
|
PMID: 10605073 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Coronary embolisation is a very rare complication of the clinically widespread method of percutaneous transluminal coronary angioplasty (PTCA). The well-documented case of a 64-year-old male patient is presented comparing angiographic and morphological findings. The occluded left anterior descending artery (LAD) was successfully dilated during PTCA. Simultaneously the circumflex artery showed acute occlusion. The patient fell into cardiac shock and died after attempted resuscitation and agonal installation of extracorporeal circulation. The autopsy revealed severe residual stenosis of the proximal LAD by parietal thrombosis and occlusion of the proximal circumflex artery by an unattached intraluminal thrombus (0.8 x 0.3 x 0.2 cm) which had been dislocated during PTCA. Autopsy thus confirmed the clinical presumption of coronary embolism and, in addition, disclosed a previously unknown perforation of the femoral artery which had occurred during agonal installation of extracorporeal circulation and contributed to death via severe retroperitoneal hemorrhage. The case is discussed under the aspects of clinical quality control by forensic pathological investigations. |
| | |
Authors:
|
W Grellner |
Related Documents
:
|
2070393 - Accordion effect in tortuous right coronary arteries during percutaneous transluminal c... 8829843 - Combined percutaneous balloon mitral valvotomy and coronary angioplasty with stent impl... 13663 - Action of histamine and h1 and h2 blockers on the cardiopulmonary circulation. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Forensic science international Volume: 105 ISSN: 0379-0738 ISO Abbreviation: Forensic Sci. Int. Publication Date: 1999 Oct |
Date Detail:
|
Created Date: 2000-01-11 Completed Date: 2000-01-11 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7902034 Medline TA: Forensic Sci Int Country: IRELAND |
Other Details:
|
Languages: eng Pagination: 25-33 Citation Subset: IM |
Affiliation:
|
Institute of Forensic Medicine, Saarland University, Homburg, Germany. wolfgang.grellner@med-rz.uni-sb.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angiocardiography Angioplasty, Transluminal, Percutaneous Coronary / adverse effects* Autopsy / standards Coronary Thrombosis / etiology*, pathology Coronary Vessels / pathology* Embolism / etiology* Fatal Outcome Femoral Artery / injuries Humans Male Middle Aged Myocardium / pathology Quality Assurance, Health Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Traumatic subarachnoid haemorrhage: a 10-year case study and review.
Next Document: Biomechanics of knife stab attacks.