Document Detail


Sudden death due to aortic rupture complicating undiagnosed coarctation of the aorta in a teenager - a case report and review of the literature.
MedLine Citation:
PMID:  18761311     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coarctation of the aorta is one of the more common congenital cardiac defects accounting for between 5 and 10% of cases of congenital heart disease. It has traditionally been divided into infantile (pre-ductal) and adult (ductal) types. Prior to the development of surgical treatment for coarctation, the condition was associated with significant morbidity and mortality with the most common causes of death being aortic rupture, congestive cardiac failure, endocarditis and intracerebral haemorrhage. Presentation of undiagnosed aortic coarctation as sudden and unexpected death is today a distinctly uncommon phenomenon. We report one such case, that of an adolescent male who at autopsy was noted to have coarctation of ductal type with aortic dissection and haemopericardium. The presence of this condition should be considered by the forensic pathologist confronted with aortic dissection, particularly in a young person.
Authors:
Matthew J Lynch; Noel W F Woodford; Malcolm J Dodd
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-09
Journal Detail:
Title:  Journal of forensic and legal medicine     Volume:  15     ISSN:  1752-928X     ISO Abbreviation:  -     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-01     Completed Date:  2009-01-27     Revised Date:  2009-06-03    
Medline Journal Info:
Nlm Unique ID:  101300022     Medline TA:  J Forensic Leg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  443-6     Citation Subset:  IM    
Affiliation:
Department of Forensic Medicine, Monash University, Victorian Institute of Forensic Medicine, Southbank Victoria, Monash, Australia. matthewl@vifm.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aorta, Thoracic / abnormalities,  pathology
Aortic Coarctation / pathology*
Aortic Rupture / pathology*
Cardiac Tamponade / etiology
Death, Sudden / etiology*
Forensic Pathology
Humans
Male
Pericardial Effusion / pathology
Comments/Corrections
Comment In:
J Forensic Leg Med. 2009 Jul;16(5):298   [PMID:  19481717 ]

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


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