title: Myocardial Contrast Defect Associated with Thrombotic Coronary Occlusion: Pre-Autopsy Diagnosis of a Cardiac Death with Post-Mortem CT Angiography.
abstract: We report the case of a female who died of suspected acute myocardial infarction. Post-mortem CT angiography (PMCTA) was performed with intravascular contrast infusion before the standard autopsy, and it successfully demonstrated the complete thrombotic occlusion of a coronary artery and also a corresponding perfusion defect on myocardium. We herein describe the PMCTA findings of a cardiac death with special emphasis on the potential benefits of this novel CT technique in forensic practice.
authors.affiliation: Department of Radiology, Soonchunhyang University Hospital, Bucheon 14584, Korea.
authors.forename: Heon
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Forensic Medicine, National Forensic Service, Wonju 26460, Korea.
authors.forename: Hyejin
authors.initials: H
authors.lastname: Park
authors.affiliation: Department of Radiology, Soonchunhyang University Hospital, Bucheon 14584, Korea.
authors.forename: Jang Gyu
authors.initials: JG
authors.lastname: Cha
authors.affiliation: Department of Forensic Medicine, National Forensic Service, Wonju 26460, Korea.
authors.forename: Sookyoung
authors.initials: S
authors.lastname: Lee
authors.affiliation: Department of Forensic Medicine, National Forensic Service, Wonju 26460, Korea.
authors.forename: Kyungmoo
authors.initials: K
authors.lastname: Yang
mesh_terms: D001344:Autopsy; D054059:Coronary Occlusion / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology; D009206:Myocardium; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
keywords: CT angiography; Coronary thrombosis; Myocardial perfusion; Post-mortem radiology