Post-mortem magnetic resonance imaging provides the diagnosis following aortic rupture in an infant with treated aortic interruption.
In the United Kingdom, there has been a steady decline in the number of conventional autopsies performed in children. For cardiovascular disease, structural and not pathological considerations are often more important in defining the cause of death. Magnetic resonance imaging is now often used in the assessment of congenital cardiac malformations during life. In this case report, we demonstrate how post-mortem magnetic resonance imaging was able to establish the diagnosis of aortic rupture in a patient who had undergone surgical repair of aortic interruption. In this patient, the parents had declined conventional histopathological autopsy, but were happy to consent to magnetic resonance post-mortem assessment.
Taylor
Andrew M
AM
Cardiothoracic Unit, and Department of Radiology, Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom. a.taylor@ich.ucl.ac.uk
Jones
Rod
R
Derrick
Graham
G
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000293:injuries / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis* / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery