Korean J Leg Med.  2018 Nov;42(4):172-175. 10.7580/kjlm.2018.42.4.172.

Type A Aortic Dissection with Concomitant Acute Myocardial Infarction and Cardiac Tamponade: An Autopsy Case

• Noh SJ
• Sim MS
• Ahn AR
• Lee H

• KMID: 2427566
• DOI: http://doi.org/10.7580/kjlm.2018.42.4.172

Abstract

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

Keyword

Aortic dissection; Acute myocardial infarction; Coronary artery; Cardiac tamponade; Complications

MeSH Terms

Aortic Valve Insufficiency
Autopsy*
Cardiac Tamponade*
Coronary Vessels
Death, Sudden
Diagnosis
Emergencies
Humans
Mortality
Myocardial Infarction*

Figure

• 

  Fig. 1 (A) Separation of the intima and media of the ascending aorta. (B) Ruptured outer wall of the ascending aorta. (C) Atherosclerosis and peri-coronary hemorrhage of the left main coronary artery. (D) Patched dark mottling of the anterior inner wall and septum of the left ventricle.

• 

  Fig. 2 (A) Acute myocardial infarction of the left ventricular walls (H&E stain, ×100). (B) Higher magnification shows coagulation necrosis of the myocytes, neutrophilic inflammation, and hemorrhage (H&E stain, ×400).

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