title: Sudden death with massive hemoptysis from rupture of a thoracic inflammatory aortic aneurysm: an autopsy case report.
abstract: An 84-year-old-man was admitted to the Department of Neurosurgery for a sudden episode of fainting. Brain computed tomography and magnetic resonance imaging demonstrated no fresh lesions. Anorexia, fever and elevation of C-reactive protein and creatine phosphokinase were observed, and the patient was transferred to the Department of Internal Medicine for further examination and treatment. High-dose steroids and antibiotics were administered, and his fever subsided. However, massive hemoptysis suddenly developed and the patient died. A thoracic aortic aneurysm that had coalesced and ruptured a left lung bronchus was detected at autopsy. Pathological examination revealed an inflammatory aortic aneurysm.
authors.affiliation: Department of Internal Medicine, Fukushima Red Cross Hospital, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ando
authors.forename: Osamu
authors.initials: O
authors.lastname: Suzuki
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Sakuma
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Oyama
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kazuta
authors.forename: Masahito
authors.initials: M
authors.lastname: Kuroda
authors.forename: Kumiko
authors.initials: K
authors.lastname: Terashima
authors.forename: Masayuki
authors.initials: M
authors.lastname: Miyata
mesh_terms: D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis*; D001344:Autopsy; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000473:pathology*; D006469:Hemoptysis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male