title: Immediate non-traumatic postmortem computed tomographic demonstration of myocardial intravascular gas of the left ventricle: effects from cardiopulmonary resuscitation.
abstract: An 87-year-old man was found in a state of cardiopulmonary arrest. Despite cardiopulmonary resuscitation (CPR) for over 1 hour by emergency technicians and physicians, the patient died. Immediate postmortem computed tomography showed cardiovascular gas in the right atrium, right ventricle, and left ventricle. Cardiovascular gas in the left ventricle was located in the myocardium and appeared as linear or branch-shaped suggesting the presence of myocardial intravascular gas. This is the first report describing the appearance and significance of myocardial intravascular gas of the left ventricle as a CPR-related change.
authors.affiliation: Department of Legal Medicine, Nippon Medical School, Tokyo, Japan ; Tsukuba Medical Examiner's Office, Tsukuba, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Okuda
authors.forename: Seiji
authors.initials: S
authors.lastname: Shiotani
authors.forename: Tomoya
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Mototsugu
authors.initials: M
authors.lastname: Kohno
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Hayakawa
authors.forename: Kazunori
authors.initials: K
authors.lastname: Kikuchi
authors.forename: Kunio
authors.initials: K
authors.lastname: Suwa
keywords: Cardiopulmonary resuscitation (CPR); Cardiovascular gas (CVG); Postmortem computed tomography (PMCT); Supersaturation; Tribonucleation