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Fat embolism to the cardiac conduction system associated with sudden death
D A Schwartz1, S D Finkelstein, G D Lumb
1Department of Pathology and Laboratory Medicine, Hahnemann University School of Medicine, Philadelphia, Pennsylvania.
Abstract:
During a brief hospital stay, a patient under treatment with corticosteroids for lymphoma died suddenly and unexpectedly. At autopsy, fat emboli were identified in the lungs, myocardium, liver, and brain. Examination of the cardiac conduction system revealed fat emboli in the vessels of the bundle of His as well as those accompanying the bundle branches, a finding believed to have resulted in the sudden death. This report is the first of fat embolization to the cardiac conduction system and emphasizes the importance of examination of this system in cases of unexplained or sudden death.
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