冠状动脉异常死亡伴Chiari神经网络共存。

Q4 Medicine Soudni Lekarstvi Pub Date : 2015-01-01
Nursel İnanir Türkmen, Büllent Eren, Murat Serdar Gürses, Okan Akan, Filiz Eren, Fabian Kanz
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引用次数: 0

摘要

冠状动脉异常在尸检系列和血管造影中很少发现,可能是复杂畸形的组成部分,也可能与心源性猝死有关。该病例为22岁男性,他在一场人造草皮足球比赛中突然晕倒,他被转移到医院,但在重症监护治疗期间死亡。当地检察官对他进行了评估,并将他送到我们中心进行尸检。尸检时,内部宏观检查显示右冠状动脉缺失。共观察到2个冠状动脉开口。其中一处起源于左主动脉窦,另一处起源于窦管线上方8mm处。此外,右心房可见Chiari网络形成。本文结合文献资料,从法医学角度对冠状动脉异常伴Chiari网络形成的病例进行探讨。
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Death due to coronary artery anomaly with coexistence of Chiari network.

Coronary artery anomalies rarely detected in autopsy series and angiograms can be a component of complex malformations, besides, can be also associated with sudden cardiac death. Presented case was 22-year-old male, who had suddenly fainted during a football match played on artificial turf, he was transferred into the hospital, however had died during intensive care therapy. He had been evaluated by local prosecutor, and sent to our center for autopsy. At autopsy, internal macroscopic examination revealed absence of the right coronary artery. A total of two coronary artery ostia were observed. One of them originated from the left aortic sinus, and the other one stemmed from 8 mm above the sinotubular line. Besides, Chiari network formation was seen in the right atrium. This case with coronary artery anomaly associated with formation of Chiari network was discussed from the perspective of forensic medicine in the light of the literature information.

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Soudni Lekarstvi
Soudni Lekarstvi Medicine-Medicine (all)
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