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Rupture of an ascending aortic aneurysm as a cause of sudden death
Cristielle Peres de Freitas1, Carla Andrade Petrini2, Ramon Souza Goes Araújo2
1Anatomic Pathology Department - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil .
Abstract:
An 84-year-old female patient was brought to the emergency department in cardiac arrest. Cardiopulmonary resuscitation maneuvers were performed but were unsuccessful. The patient had a past medical history of systemic arterial hypertension with target-organ lesions, including stroke and myocardial infarction. The autopsy was carried out, and the most striking finding was cardiac tamponade due to the rupture of an ascending aortic aneurysm at the site of a complex atheromatous plaque. Rupture is the most serious complication of a thoracic aneurysm and must be considered in the differential diagnosis of sudden death.
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