A rare case of postmortem diagnosis of penetrating atherosclerotic ulcer rupture in the ascending aorta.

IF 1.5 4区医学 Q2 MEDICINE, LEGAL

Forensic Science, Medicine and Pathology Pub Date : 2025-06-20 DOI:10.1007/s12024-025-01034-3

Lorenzo Tornese, Vincenzo Cianci, Daniela Sapienza, Giovanni Bartoloni, Patrizia Gualniera, Alessio Asmundo, Cristina Mondello

引用次数: 0

Abstract

A 74-year-old man underwent both a mitral valve replacement and ascending aorta replacement because of the presence of a critical aneurysm. Postoperatory CT angiography revealed both a periprosthetic hematoma of about 40 mm located at the distal prosthetic graft and a modest effusion at the base of the pericardium. 12 days after the surgery the patient suddenly died. Autopsy showed a cardiac tamponade due to ascending aorta rupture secondary to penetrating atherosclerotic ulcer (PAU). This paper highlights the key gross and microscopic findings of this rare lesion, emphasizing its forensic pathology relevance.

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死后诊断为升主动脉穿透性动脉粥样硬化性溃疡破裂的罕见病例。

一位74岁的男性，由于存在严重的动脉瘤，接受了二尖瓣置换术和升主动脉置换术。术后CT血管造影显示假体周围血肿约40毫米，位于远端假体移植物，心包底部有少量积液。手术后12天，病人突然死亡。尸检显示心脏填塞是由于升主动脉破裂继发于穿透性动脉粥样硬化性溃疡（PAU）。本文强调了这种罕见病变的主要大体和显微镜发现，强调其法医病理学相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY

CiteScore

3.90

自引率

5.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.