title: Assessment of a sudden death case due to coronary artery disease based on the PMCT and forensic autopsy.
abstract: It is never an easy thing to diagnose heart vascular disease only depending on the unenhanced postmortem computed tomography (PMCT). This article reported a case of sudden natural death after the complaint of anterior chest pain in which coronary artery calcification (CAC) was clearly displayed using PMCT scan. The entire coronary artery system was almost reconstructed via multiplanar reformation (MPR) and volume-rendering reconstruction (VR), and the total calcium score of the coronary arteries was obtained with CaScoring automatic analysis software. The results showed that CAC was conspicuous; the total calcium score was 640.3, considerably higher than 400. The pulmonary ground-glass opacity (GGO) and small amount of fluid both in the subglottic trachea and main bronchi were also found. The imaging results confirmed those of autopsy. In addition, the results concluded that PMCT might serve as an invaluable adjunct to the classic autopsy procedure.
authors.affiliation: Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China. wanlei-820628@163.com
authors.forename: Lei
authors.initials: L
authors.lastname: Wan
authors.forename: Jian-hua
authors.initials: JH
authors.lastname: Zhang
authors.forename: Ping
authors.initials: P
authors.lastname: Huang
authors.forename: Chong-liang
authors.initials: CL
authors.lastname: Ying
authors.forename: Ning-guo
authors.initials: NG
authors.lastname: Liu
authors.forename: Guang-you
authors.initials: GY
authors.lastname: Zhu
mesh_terms: D001344:Autopsy; D002114:Calcinosis / Q000175:diagnosis*; D002423:Cause of Death; D003324:Coronary Artery Disease / Q000175:diagnosis*; D003331:Coronary Vessels / Q000473:pathology*; D003645:Death, Sudden / Q000209:etiology*; D049429:Forensic Pathology; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000379:methods*