Sudden death due to dissection of the thoracic aorta associated with dissection and rupture of the pulmonary artery: Report of two cases

Hostiuc, Sorin; Dermengiu, Dan; Ceauşu, Mihai; Capatina, Corneliu Octavian; Luca, L De; Hostiuc, Mihaela

doi:10.1016/j.forsciint.2013.12.032

Cited by 6 publications

(6 citation statements)

References 80 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Aetiology and aetiopathogenesis: (spontaneous, acquired iatrogenic and acquired accidental) Degeneration of the aortic wall, in particular myxoid and mucoid degradation and deterioration of the aortic media layer, has been recognized as an etiologic factor of AD increasing its susceptibility to rupture [16] . AD occurs usually spontaneous [17] but acquired caused by iatrogenic trauma during invasive cardiovascular diagnostic procedure [18] , after coronary surgical intervention [19] and delayed dissection of the donor aorta 22 years following orthotropic heart transplantation [20] have been reported and accounts for 5% of cases [21]. In one of our patients (patient 5), acquired iatrogenic acute AD, without chest or back pain, occurred during diagnostic coronary artery catheterization.…”

Section: Discussionmentioning

confidence: 82%

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Said¹

2017

IJCC

View full text Add to dashboard Cite

Abstract:Aim: To describe iatrogenic and spontaneous presentations of acute aortic dissection (AAD) type A. Method: We report two cases of male patients with iatrogenic non-fatal and spontaneous fatal acute aortic dissection type A. Results: Two male patients are discussed with different aetiology of acute aortic dissection type A. The first patient of 68-years-old, having progressive angina pectoris developed iatrogenic acquired AAD secondary to diagnostic procedure of coronary angiography. Emergent surgical procedure was performed. The second patient of 66-years-old, with known history of aortic dissection type B, presented with acute chest and back pain. The condition was misdiagnosed for acute pulmonary embolism followed by sudden death. Autopsy findings are discussed. Conclusions: Iatrogenic acute aortic dissection type A is a rare complication of routine coronary angiography which requires emergent surgical intervention. Spontaneous AAD may be erroneously seen for acute pulmonary embolism

show abstract

Section: Discussionmentioning

confidence: 82%

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Said¹

2017

IJCC

View full text Add to dashboard Cite

show abstract

“…Systematic descriptions of PAD histopathology in the literature are scarce. Autopsy findings include pulmonary artery dilatation, intimal tear with or without entrance orifice, aneurysm with atherosclerotic walls and linear calcifications, and accompanying thrombosis at the dissection site [ 36 , 93 , 94 ].…”

Section: Resultsmentioning

confidence: 99%

“…In particular, the wall of the dilated pulmonary artery had thickened intima with luminal thrombus adherence, hypertrophied media, and hematoma located in the dissected smooth muscle layer [65，93]. The presence of vasa vasorum was described in the inner adventitia, with excessive hyperplasia of the smooth muscle cells in the media and luminal stenosis, surrounded by multiple lymphoid follicles [ 93 ]. Fault-like vertical deviations were noted in the medial layer with atheromatous degeneration and disruption of the elastic fibre [ 4 , 25 , 93 ].…”

Section: Resultsmentioning

confidence: 99%

“…The presence of vasa vasorum was described in the inner adventitia, with excessive hyperplasia of the smooth muscle cells in the media and luminal stenosis, surrounded by multiple lymphoid follicles [ 93 ]. Fault-like vertical deviations were noted in the medial layer with atheromatous degeneration and disruption of the elastic fibre [ 4 , 25 , 93 ]. These degenerative changes in the media of the pulmonary arteries with fragmentation of the elastic fibres and pooling of mucopolysaccharides are called “cystic medial necrosis” [ 10 , 14 , 26 , 27 , 37 , 86 , 95 ], which are believed to be the result of progressive injury and repair.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Etiological classification and manifestation of pulmonary artery dissection: A literature review and case analysis

Zeng,

Xi,

Luo

et al. 2023

Heliyon

View full text Add to dashboard Cite

“…Recently, Hostiuc et al reported two cases of aortic dissection associated with dissection and rupture of the pulmonary artery [17].…”

Section: Discussionmentioning

confidence: 99%

Bicuspid aortic and pulmonary valves complicated by acute aortic dissection in a highly trained athlete – Case report and review of the literature

Janík¹,

Straka²,

Hejna³

2014

RJLM

View full text Add to dashboard Cite

Acute aortic dissection is typically seen in the middle aged and elderly population, the majority of the cases are related to systemic hypertension and atherogenic process. In contrast, aortic dissection-related deaths in the young are rare and are mainly associated with genetically based disorders and congenital cardiac anomalies. One of the most recognized congenital risk factors that predispose to aortic dissection is the bicuspid aortic valve. This report describes an illustrative case of acute aortic dissection in a 29-year-old athlete secondary to previously unrecognized congenital bicuspid aortic valve. Moreover, further cardiac autopsy disclosed bicuspid pulmonary valve-an exceedingly rare congenital valvular anomaly. The authors characterize and discuss, with emphasis on medicolegal approach, the mechanisms and interactions between these pathologic entities that led to the athlete's sudden unexpected death.

show abstract

Sudden death due to dissection of the thoracic aorta associated with dissection and rupture of the pulmonary artery: Report of two cases

Cited by 6 publications

References 80 publications

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Etiological classification and manifestation of pulmonary artery dissection: A literature review and case analysis

Bicuspid aortic and pulmonary valves complicated by acute aortic dissection in a highly trained athlete – Case report and review of the literature

Contact Info

Product

Resources

About