Acute Aortic Dissection With Carotid and Coronary Malperfusion From Imaging to Pathology

被引：9

作者：

Lardi, Christelle ^{[1
]}

Lobrinus, Johannes-Alexander ^{[2
]}

Doenz, Francesco ^{[3
]}

Fracasso, Tony ^{[1
]}

Augsburger, Marc ^{[1
,4
]}

Mangin, Patrice ^{[1
,4
]}

Grabherr, Silke ^{[4
]}

机构：

[1] Univ Hosp Geneva, Univ Ctr Legal Med Lausanne Geneva, CH-2011 Geneva 4, Switzerland

[2] Univ Hosp Geneva, Dept Pathol, CH-2011 Geneva 4, Switzerland

[3] Univ Lausanne Hosp, Dept Diagnost & Intervent Radiol, Lausanne, Switzerland

[4] Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Lausanne, Switzerland

来源：

AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY | 2014年 / 35卷 / 03期

关键词：

forensic imaging; postmortem angiography; aortic dissection; malperfusion; MINIMALLY INVASIVE AUTOPSY; EARLY MYOCARDIAL DAMAGE; POSTMORTEM ANGIOGRAPHY; ARTERY-DISEASE; CT ANGIOGRAPHY; DIAGNOSIS; DEATH; HEART;

D O I：

10.1097/PAF.0000000000000098

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

Postmortem imaging, including postmortem computed tomography angiography, has become an integral tool in forensic investigation in recent years. A relatively new technique, multiphase postmortem computed tomography angiography, allows detailed visualization of the vascular system and makes it possible to evaluate the dynamic perfusion of aortic branches, including the coronary arteries. Here, we report a case of aortic dissection involving the ascending aorta (type A) with coronary and carotid malperfusion. This case illustrates the complementary use of many of the diagnostic tools that are now available in forensic practice, from imaging to conventional autopsy to pathologic techniques such as immunohistochemistry.

引用

页码：157 / 162

页数：6

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