title: Sudden death from secondary massive pulmonary embolism derived from marrow emboli trapped by Chiari's network.
abstract: We report a case of fatal massive pulmonary embolism in an 86-year-old woman. The embolus occurred as a result of embolic bone marrow particles from a fractured femur becoming trapped by a Chiari's network which then acted as a source for propagation of a large thrombus which detached and caused sudden death from massive pulmonary embolism. To our knowledge this is the first report of such a case.
authors.affiliation: Department of Pathology, University of Hong Kong, Queen Mary Hospital.
authors.forename: S T
authors.initials: ST
authors.lastname: Yuen
authors.forename: P
authors.initials: P
authors.lastname: Dickens
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001853:Bone Marrow / Q000473:pathology; D003645:Death, Sudden / Q000209:etiology*; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications*; D006801:Humans; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology; D013927:Thrombosis / Q000150:complications* / Q000209:etiology / Q000473:pathology; D014682:Vena Cava, Inferior / Q000473:pathology*