Document Detail


An autopsy case of unexpected sudden death due to rupture of a thoracic aortic aneurysm into the left lung.
MedLine Citation:
PMID:  21377396     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Ruptured aortic aneurysms present with various signs and symptoms depending on the site of rupture and bleeding, often causing sudden death; however, rupture into the lung with hemoptysis and blood aspiration is very rare. We report a case of unexpected sudden death due to blood aspiration from rupture of a thoracic aortic aneurysm into the lung. An 83yearold man, who had a past history of surgery for an abdominal aortic aneurysm about 17years previously, was found dead on his bed with massive hemoptysis. Medico-legal autopsy revealed rupture of a thoracic aortic aneurysm into the left lung, causing massive blood aspiration. Tight, diffuse pleural adhesion and the vulnerable wall of an aortic aneurysm due to advanced atherosclerosis with active inflammation appeared to have predominantly contributed to the penetration of the ruptured aneurysm into the lung. This case suggests that long-term clinical follow-up and management are needed for a patient with aortic aneurysm, and that a ruptured aortic aneurysm should be taken into consideration to identify the source of bleeding for hemoptysis.
Authors:
Jian-Hua Chen; Takaki Ishikawa; Tomomi Michiue; Hitoshi Maeda
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-3
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  -     ISSN:  1873-4162     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Legal Medicine, Osaka City University Medical School, Japan; Osaka Medical Examiner's Office, Japan.
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