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Chen X, Zhao C, Zheng Z, Bian C, Zhang Y, Zhang P, Li Y, Zhao M, Li J. A case of cardiac tamponade caused by T4N2M1 lung squamous cell carcinoma invading the aorta. Forensic Sci Med Pathol 2023; 19:393-397. [PMID: 36180659 DOI: 10.1007/s12024-022-00532-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2022] [Indexed: 12/24/2022]
Abstract
In patients with known lung squamous cell carcinoma, it is necessary to be alert to the presence of cancer cell infiltration in the large blood vessels and the heart. In this report, we report a case of a 49-year-old man who was previously diagnosed with squamous cell carcinoma of the lung, underwent autoimmune cell therapy, and was diagnosed posthumously with lung cancer invading the aorta and heart, resulting in severe cardiac tamponade. This case illustrates the value and key points of autopsy in evaluating sudden deaths.
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Affiliation(s)
- Xiankun Chen
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Congcong Zhao
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Zhe Zheng
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Cunhao Bian
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Yongtai Zhang
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Peng Zhang
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Yongguo Li
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China
| | - Minzhu Zhao
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China.
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China.
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China.
| | - Jianbo Li
- Department of Forensic Medicine, Chongqing Medical University, Chongqing, 400010, China.
- Chongqing Engineering Research Center for Criminal Investigation Technology, Chongqing, 400010, China.
- Chongqing Key Laboratory of Forensic Medicine, Chongqing, 400010, China.
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Patil A, Singh N, Vigneshwaran S, Bharti S, Sudhakar S. Sudden Death Due to Cardiac Tamponade Secondary to Myocardial Infarction Ventricular Wall Rupture. Cureus 2022; 14:e30288. [DOI: 10.7759/cureus.30288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2022] [Indexed: 11/07/2022] Open
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Sukovatykh BS, Bolomatov NV, Sidorov DV, Sukovatykh MB. [Cardiac ruptures in acute myocardial infarction]. ANGIOLOGII︠A︡ I SOSUDISTAI︠A︡ KHIRURGII︠A︡ = ANGIOLOGY AND VASCULAR SURGERY 2021; 27:185-192. [PMID: 34166360 DOI: 10.33529/angio2021205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Presented in the article are the generalized data of the Russian and foreign literature addressing the currently important problem of myocardial ruptures as one of the most dangerous complications of infarction, also analysing the results of clinical studies on interconnection of heart ruptures with systemic thrombolytic therapy and with a percutaneous coronary intervention. This is followed by describing the mechanisms that may lead to myocardial rupture during thrombolytic therapy and surgical endovascular treatment, underlying the necessity of pharmacological pre- and post-conditioning for prevention of reperfusion myocardial lesions. The article also touches upon the clinical and instrumental diagnosis of myocardial ruptures, as well as approaches to surgical treatment depending on the type of rupture and necessity of myocardial revascularization.
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Affiliation(s)
- B S Sukovatykh
- Department of General Surgery, Kursk State Medical University of the FR Ministry of Public Health, Kursk, Russia
| | - N V Bolomatov
- Department of Roentgenosurgical Methods of Diagnosis and Treatment, National Medical and Surgical Centre named after N.I. Pirogov, Moscow, Russia
| | - D V Sidorov
- Department of Roentgenosurgical Methods of Diagnosis and Treatment, Orel Regional Clinical Hospital, Orel, Russia
| | - M B Sukovatykh
- Department of General Surgery, Kursk State Medical University of the FR Ministry of Public Health, Kursk, Russia
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Chhabra HS, Kumar A, Kaur N, Chhabra DS. Cardiac tamponade and its medicolegal aspects: A case report. Med Leg J 2021; 89:145-147. [PMID: 33475045 DOI: 10.1177/0025817220980680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Cardiac tamponade is a life-threatening emergency having both acute and a delayed presentation. In the latter there is a potential for medical practitioners to miss the diagnosis as happened in our case resulting in allegations of medical negligence. Before starting the autopsy in such cases, the forensic pathologist should try to obtain the complete treatment record and be ready to request ancillary investigations as required. We report a case of death due to cardiac tamponade caused by a penetrating injury to the heart. A feature of this case was the failure of our medical system to diagnose the condition and the legal system due to failure of the police to register the first information report under appropriate legal sections.
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Affiliation(s)
| | - Ashwini Kumar
- Department of Forensic Medicine, GGS Medical College, Faridkot, India
| | - Navdeep Kaur
- Department of Radiodiagnosis, AIIMS Bathinda, Bathinda, India
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