Fatal traumatic rupture of an aortic aneurysm of the sinus of Valsalva: an autopsy case.
This report describes an autopsy case of a rare type of aortic sinus of Valsalva aneurysm, which caused fatal rupture from a blunt chest impact. A 51-year-old male was hit in the chest with a fist, lost consciousness after about 15min and died after approximately 7h. The postmortem examination revealed a large saccular aneurysm of the right coronary sinus bulging on the right atrium, which had a full laceration causing pericardial hematoma (cardiac tamponade). A related chest wall injury was observed in the right outer mammary region. A rare type of bulging onto the right atrium and subsequent sclerosis of the right coronary artery appeared to have greatly contributed to the fatal rupture.
Zhu
B L
BL
Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, Osaka 545-8585, Japan. baolizhu@med.osaka-cu.ac.jp
Quan
L
L
Ishida
K
K
Taniguchi
M
M
Oritani
S
S
Kamikodai
Y
Y
Fujita
M Q
MQ
Maeda
H
H
D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D001344:Autopsy; D003331:Coronary Vessels / Q000293:injuries / Q000473:pathology; D017809:Fatal Outcome; D005554:Forensic Medicine; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation / Q000009:adverse effects; D012850:Sinus of Valsalva / Q000293:injuries* / Q000473:pathology