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Pericardial tear as a consequence of cardiopulmonary resuscitation (CPR) involving chest compression: a report of two postmortem cases of acute type A aortic dissection with hemopericardium.
- Source :
-
Legal medicine (Tokyo, Japan) [Leg Med (Tokyo)] 2015 May; Vol. 17 (3), pp. 201-4. Date of Electronic Publication: 2014 Dec 13. - Publication Year :
- 2015
-
Abstract
- We present two cases of a pericardial tear as a consequence of cardiopulmonary resuscitation involving chest compressions in fatal acute type A aortic dissection (AoD) with hemopericardium. For each case, postmortem computed tomography revealed a hematoma in the false lumen of the ascending aorta with a slight hemopericardium and a large left hemothorax, as well as focal pericardial dimpling and discontinuity around the left ventricle. At autopsy, we confirmed a convex lens-shape gaping pericardial tear at the left posterolateral site of the pericardium and a massive volume of bloody fluid in the left thoracic cavity. It has been hypothesized that the pericardium ruptured due to chest compressions during resuscitation in these cases of acute type A AoD with hemopericardium and that intrapericardial blood leakage through the pericardial tear resulted in a hemothorax.<br /> (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1873-4162
- Volume :
- 17
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Legal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 25533925
- Full Text :
- https://doi.org/10.1016/j.legalmed.2014.12.001