Document Detail


Sudden death associated with bloodless aortic dissection.
MedLine Citation:
PMID:  8330807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of rapidly fatal aortic dissection which was unusual because no intimal tear was present and no blood was present in the dissected aortic wall, although the dissection involved the entire aorta. Death was considered to be due to acute myocardial ischaemia from dissection involving the left coronary artery. Prominent cystic medial necrosis was present. There was no history of hypertension and only histological evidence of left ventricular hypertrophy. No other clinical or pathologic states associated with aortic dissection were present. Although cystic medionecrosis was the probable cause in this case, it is present in only a small proportion of patients in the absence of Marfan's syndrome, and more recently investigated defects in the composition of aortic wall connective tissue components may be more relevant factors in the causation of many cases of aortic dissection.
Authors:
P Dickens; U S Khoo
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Forensic science international     Volume:  59     ISSN:  0379-0738     ISO Abbreviation:  Forensic Sci. Int.     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-08-19     Completed Date:  1993-08-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7902034     Medline TA:  Forensic Sci Int     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  149-55     Citation Subset:  IM    
Affiliation:
Department of Pathology, University of Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / classification,  diagnosis,  epidemiology,  etiology*
Aorta / pathology*
Aortic Aneurysm / classification,  diagnosis,  epidemiology,  etiology*
Biopsy
Causality
Death, Sudden / etiology*
Echocardiography
Electrocardiography
Humans
Male
Middle Aged
Necrosis
Tunica Media / pathology*

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


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