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Noh, Sim, Ahn, and Lee: Type A Aortic Dissection with Concomitant Acute Myocardial Infarction and Cardiac Tamponade: An Autopsy Case
Case Report

Korean Journal of Legal Medicine 2018; 42(4): 172-175.

Published online: 30 November 2018

DOI: https://doi.org/10.7580/kjlm.2018.42.4.172

Type A Aortic Dissection with Concomitant Acute Myocardial Infarction and Cardiac Tamponade: An Autopsy Case

Sang Jae Noh1, 3, Myung Seok Sim1, 3, Ae Ri Ahn2, 3, Ho Lee1, 3

1Department of Forensic Medicine, Chonbuk National University Medical School, Jeonju, Korea.

2Department of Pathology, Chonbuk National University Medical School, Jeonju, Korea.

3Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital and Research Institute for Endocrine Sciences, Jeonju, Korea.

Correspondence to Ho Lee. Department of Forensic Medicine, Chonbuk National University Medical School, 567 Baekje-daero, Deokjingu, Jeonju 54896, Korea. Tel: +82-63-270-3064, Fax: +82-63-270-4598, foremed@jbnu.ac.kr

Received 16 November 2018       Revised 21 November 2018       Accepted 26 November 2018

© Copyright 2018 by the Korean Society for Legal Medicine

The Korean Society for Legal Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

Keywords: Aortic dissection, Acute myocardial infarction, Coronary artery, Cardiac tamponade, Complications

Figures and Tables

Fig. 1

(A) Separation of the intima and media of the ascending aorta. (B) Ruptured outer wall of the ascending aorta. (C) Atherosclerosis and peri-coronary hemorrhage of the left main coronary artery. (D) Patched dark mottling of the anterior inner wall and septum of the left ventricle.

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Fig. 2

(A) Acute myocardial infarction of the left ventricular walls (H&E stain, ×100). (B) Higher magnification shows coagulation necrosis of the myocytes, neutrophilic inflammation, and hemorrhage (H&E stain, ×400).

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Notes

Conflicts of Interest No potential conflict of interest relevant to this article was reported.

References

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ORCID iDs

Sang Jae Noh
https://orcid.org/0000-0002-7005-056X

Myung Seok Sim
https://orcid.org/0000-0002-7941-3750

Ae Ri Ahn
https://orcid.org/0000-0002-6047-1627

Ho Lee
https://orcid.org/0000-0002-4859-3883

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