Header

UZH-Logo

Maintenance Infos

The role of post-mortem imaging in a case of sudden death due to ascending aorta aneurysm rupture


Filograna, Laura; Hatch, Gary M; Ruder, Thomas D; Ross, Steffen G; Bolliger, Stephan A; Thali, Michael J (2013). The role of post-mortem imaging in a case of sudden death due to ascending aorta aneurysm rupture. Forensic Science International: Genetics Supplement Series, 228(1-3):e76-e80.

Abstract

A 65-year-old man collapsed suddenly, while on an escalator. Despite intensive cardio-pulmonary resuscitation, the subject died 1. h later. Post-mortem magnetic resonance imaging and post-mortem computed tomography angiography demonstrated rupture of an ascending aortic aneurysm, with haemorrhage into the pericardial cavity and the uncommon associated finding of haemorrhage into the left hemi-thorax through a small left-sided pericardial defect. The cause of death was thus attributed to the rupture of thoracic aortic aneurysm, and traditional autopsy was not performed. The circumstances of the case will be discussed, followed by a discussion of the imaging findings, mechanism of death, and explanation of the findings in this case. Finally, on the basis of this case report, we suggest that in selected cases, post-mortem imaging can be used as a screening tool for conducting hypotheses on the cause and mechanism of death before autopsy.

Abstract

A 65-year-old man collapsed suddenly, while on an escalator. Despite intensive cardio-pulmonary resuscitation, the subject died 1. h later. Post-mortem magnetic resonance imaging and post-mortem computed tomography angiography demonstrated rupture of an ascending aortic aneurysm, with haemorrhage into the pericardial cavity and the uncommon associated finding of haemorrhage into the left hemi-thorax through a small left-sided pericardial defect. The cause of death was thus attributed to the rupture of thoracic aortic aneurysm, and traditional autopsy was not performed. The circumstances of the case will be discussed, followed by a discussion of the imaging findings, mechanism of death, and explanation of the findings in this case. Finally, on the basis of this case report, we suggest that in selected cases, post-mortem imaging can be used as a screening tool for conducting hypotheses on the cause and mechanism of death before autopsy.

Statistics

Citations

9 citations in Web of Science®
11 citations in Scopus®
Google Scholar™

Altmetrics

Additional indexing

Item Type:Journal Article, not refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Legal Medicine
Dewey Decimal Classification:340 Law
610 Medicine & health
Uncontrolled Keywords:aged; aorta rupture; article; ascending aorta aneurysm rupture; autopsy; building; case report; cause of death; collapse; computed tomography scanner; computer assisted tomography; diagnostic imaging; faintness; forensic medicine; Glasgow coma scale; hemopericardium; human; image analysis; male; nuclear magnetic resonance imaging; nuclear magnetic resonance scanner; pericardial disease; post mortem imaging; priority journal; resuscitation; sudden death; thoracic aorta aneurysm; transthoracic echocardiography
Language:English
Date:2013
Deposited On:24 Oct 2013 06:50
Last Modified:05 Apr 2016 17:03
Publisher:Elsevier
ISSN:1875-175X
Publisher DOI:https://doi.org/10.1016/j.forsciint.2013.01.039
PubMed ID:23485035

Download

Full text not available from this repository.
View at publisher

TrendTerms

TrendTerms displays relevant terms of the abstract of this publication and related documents on a map. The terms and their relations were extracted from ZORA using word statistics. Their timelines are taken from ZORA as well. The bubble size of a term is proportional to the number of documents where the term occurs. Red, orange, yellow and green colors are used for terms that occur in the current document; red indicates high interlinkedness of a term with other terms, orange, yellow and green decreasing interlinkedness. Blue is used for terms that have a relation with the terms in this document, but occur in other documents.
You can navigate and zoom the map. Mouse-hovering a term displays its timeline, clicking it yields the associated documents.

Author Collaborations