Heart luxation and myocardium rupture in postmortem multislice computed tomography and magnetic resonance imaging.
Postmortem cross-sectional imaging in situ of nontraumatic human heart and of the heart with a penetrating trauma has already been described. In postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) the diagnosis of blunt trauma to the heart was reported to be challenging. We examined a case of fatal vehicle accident with severe heart trauma, which underwent postmortem MSCT and MRI before autopsy. Both radiologic methods showed dislocation of the heart. Based on this finding a rupture of the pericardium was suspected. T2-weighted MRI sequence and MSCT images allowed for diagnosis of myocardium rupture. We conclude that postmortem MSCT and MRI performed in suspicion of blunt trauma to the heart in forensic cases are useful documentation and diagnostic tools.
Aghayev
Emin
E
Center for Forensic Imaging and Virtopsy, University of Bern, Bern, Switzerland. emin.aghayev@irm.unibe.ch
Jackowski
Christian
C
Thali
Michael J
MJ
Yen
Kathrin
K
Dirnhofer
Richard
R
Sonnenschein
Martin
M
D000063:Accidents, Traffic; D049429:Forensic Pathology; D006335:Heart Injuries / Q000473:pathology*; D006470:Hemorrhage / Q000473:pathology; D006491:Hemothorax / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009206:Myocardium / Q000473:pathology*; D010496:Pericardium / Q000293:injuries* / Q000473:pathology*; D012253:Rib Fractures / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000473:pathology