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Aortic dissection complicated with haemothorax - an autopsy report
S H Jayanth1, Girish Chandra2, Basappa S Hugar2
1Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India veejay02@gmail.com.
The Medico-Legal Journal
|June 1, 2014
Summary
Sudden natural death resulted from a ruptured acute aortic dissection, a rare cause of non-traumatic hemothorax. This case highlights an unusual dissection with retrograde extension, emphasizing its fatal nature in forensic pathology.
Area of Science:
- Forensic Medicine
- Cardiovascular Pathology
- Autopsy Studies
Background:
- Hemothorax in forensic cases is typically associated with trauma.
- Non-traumatic hemothorax is predominantly caused by fatal intrathoracic aortic rupture (dissection or aneurysm).
Observation:
- Autopsy of an unidentified middle-aged male presented as a case of sudden natural death.
- The cause of death was identified as a ruptured acute aortic dissection.
Findings:
- The dissection was classified as a Type III DeBakey dissection, originating in the descending aorta.
- A rare retrograde extension of the dissection was noted, an unusual finding.
Implications:
- This case underscores the critical importance of considering aortic dissection in non-traumatic sudden deaths during forensic investigations.
- Highlights the diagnostic challenges and rare presentations of aortic pathology in forensic medicine.
- Emphasizes the high fatality rate associated with ruptured aortic dissections.
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