Congenital aortic sinus aneurysm causing sudden unexpected death in a 56-year-old woman
Sudden unexpected death due to hemopericardium generally has 2 main causes, rupture of the ascending aorta or rupture of a transmural myocardial infarct. We report an unusual cause of fatal hemopericardium in a 56-year-old woman that occurred in the setting of a motor vehicle mishap.At autopsy, 300...
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| Veröffentlicht in: | The American journal of forensic medicine and pathology 2009-06, Vol.30 (2), p.195-197 |
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| container_title | The American journal of forensic medicine and pathology |
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| creator | Fealey, Michael E Edwards, William D McMaster, 3rd, Kitt R Carter, John B |
| description | Sudden unexpected death due to hemopericardium generally has 2 main causes, rupture of the ascending aorta or rupture of a transmural myocardial infarct. We report an unusual cause of fatal hemopericardium in a 56-year-old woman that occurred in the setting of a motor vehicle mishap.At autopsy, 300 mL of blood were present in the pericardial sac, due to rupture of a previously undetected congenital aortic sinus aneurysm. The low velocity of the automobile at the time of impact with a fence, and the absence of vehicle-related trauma, led to the conclusion that rupture of the aneurysm caused the motor vehicle mishap, rather than vice versa. Because of the typically silent nature of such aneurysms, it is likely that their rupture will occur out-of-hospital and require a forensic investigation. |
| doi_str_mv | 10.1097/PAF.0b013e318187def1 |
| format | Article |
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We report an unusual cause of fatal hemopericardium in a 56-year-old woman that occurred in the setting of a motor vehicle mishap.At autopsy, 300 mL of blood were present in the pericardial sac, due to rupture of a previously undetected congenital aortic sinus aneurysm. The low velocity of the automobile at the time of impact with a fence, and the absence of vehicle-related trauma, led to the conclusion that rupture of the aneurysm caused the motor vehicle mishap, rather than vice versa. 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| identifier | ISSN: 0195-7910 |
| ispartof | The American journal of forensic medicine and pathology, 2009-06, Vol.30 (2), p.195-197 |
| issn | 0195-7910 1533-404X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aortic Aneurysm - congenital Aortic Aneurysm - pathology Aortic Rupture - etiology Chest Pain - etiology Death, Sudden - etiology Female Forensic Pathology Humans Middle Aged Pericardial Effusion - etiology Pericardial Effusion - pathology Sinus of Valsalva - pathology |
| title | Congenital aortic sinus aneurysm causing sudden unexpected death in a 56-year-old woman |
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