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Death due to extensive aortic dissection with an unusual retrograde extension in a young adult
Aortic dissection usually manifests in older individuals. It is a rare cause of sudden death in the age group
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Published in: | Journal of forensic and legal medicine 2022-11, Vol.92, p.102437, Article 102437 |
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container_start_page | 102437 |
container_title | Journal of forensic and legal medicine |
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creator | Bhowmik, Sourav Jadav, Devendra Tak, Manish Meshram, Vikas Khera, Sudeep Sharma, Rashim Kanchan, Tanuj |
description | Aortic dissection usually manifests in older individuals. It is a rare cause of sudden death in the age group |
doi_str_mv | 10.1016/j.jflm.2022.102437 |
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•Aortic dissection is an unusual cause of sudden death in the young adults.•Rarely, the aortic dissection can involve the entire length of aorta.•The present case reports the retrograde involvement of the brachiocephalic artery and left common carotid artery along with involvement of almost entire length of aorta.•Medicolegal issues can arise in cases of sudden death due to Aortic dissection when the doctor misses the clinical diagnosis.</description><identifier>ISSN: 1752-928X</identifier><identifier>EISSN: 1878-7487</identifier><identifier>DOI: 10.1016/j.jflm.2022.102437</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Autopsy ; Brachiocephalic artery ; Left common carotid artery ; Stanford ‘type A’ aortic dissection ; Sudden death ; Young adult</subject><ispartof>Journal of forensic and legal medicine, 2022-11, Vol.92, p.102437, Article 102437</ispartof><rights>2022 Elsevier Ltd and Faculty of Forensic and Legal Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c251t-8a6d728b426513b3da55b98b694a379e8513b6290266f00c63dead2f132f9f2d3</cites><orcidid>0000-0001-7975-2130 ; 0000-0003-4917-2148 ; 0000-0002-2413-5749</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Bhowmik, Sourav</creatorcontrib><creatorcontrib>Jadav, Devendra</creatorcontrib><creatorcontrib>Tak, Manish</creatorcontrib><creatorcontrib>Meshram, Vikas</creatorcontrib><creatorcontrib>Khera, Sudeep</creatorcontrib><creatorcontrib>Sharma, Rashim</creatorcontrib><creatorcontrib>Kanchan, Tanuj</creatorcontrib><title>Death due to extensive aortic dissection with an unusual retrograde extension in a young adult</title><title>Journal of forensic and legal medicine</title><description>Aortic dissection usually manifests in older individuals. It is a rare cause of sudden death in the age group <35 years. Compared to older age groups, this age range is likely to have distinct clinical and pathologic features, uncommon risk factors, and an unusual presentation. This case reports the sudden death of a 34-year-old male due to extensive aortic dissection without any previously known predisposing factors. Autopsy examination showed the presence of aortic dissection with the formation of the false lumen, which extended from the root of the aorta to the whole length of the ascending aorta, arch of the aorta and further up to 27 cm length of the descending aorta. The pathological examination also revealed retrograde involvement of the brachiocephalic artery and left common carotid artery. The reported AD belonged to Stanford ‘type A’. Such extensive AD with unique retrograde extension is rarely reported in Forensic Pathology literature.
•Aortic dissection is an unusual cause of sudden death in the young adults.•Rarely, the aortic dissection can involve the entire length of aorta.•The present case reports the retrograde involvement of the brachiocephalic artery and left common carotid artery along with involvement of almost entire length of aorta.•Medicolegal issues can arise in cases of sudden death due to Aortic dissection when the doctor misses the clinical diagnosis.</description><subject>Autopsy</subject><subject>Brachiocephalic artery</subject><subject>Left common carotid artery</subject><subject>Stanford ‘type A’ aortic dissection</subject><subject>Sudden death</subject><subject>Young adult</subject><issn>1752-928X</issn><issn>1878-7487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kM9KxDAQh4MouK6-gKe8QGsybZMUvMj6Fxa8KHgypM10Tem2kqSr-_a2rF49zTD8vmHmI-SSs5QzLq7atG26bQoMYBpAnskjsuBKqkTmSh5PvSwgKUG9nZKzEFrGihxksSDvt2jiB7Uj0jhQ_I7YB7dDagYfXU2tCwHr6IaefrkpZ3o69mMYTUc9Rj9svLH4h00h11ND98PYb6ixYxfPyUljuoAXv3VJXu_vXlaPyfr54Wl1s05qKHhMlBFWgqpyEAXPqsyaoqhKVYkyN5ksUc1TASUDIRrGapFZNBYankFTNmCzJYHD3toPIXhs9Kd3W-P3mjM9G9Ktng3p2ZA-GJqg6wOE02U7h16H2mFfo3V-elrbwf2H_wBhC3Bg</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Bhowmik, Sourav</creator><creator>Jadav, Devendra</creator><creator>Tak, Manish</creator><creator>Meshram, Vikas</creator><creator>Khera, Sudeep</creator><creator>Sharma, Rashim</creator><creator>Kanchan, Tanuj</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-7975-2130</orcidid><orcidid>https://orcid.org/0000-0003-4917-2148</orcidid><orcidid>https://orcid.org/0000-0002-2413-5749</orcidid></search><sort><creationdate>202211</creationdate><title>Death due to extensive aortic dissection with an unusual retrograde extension in a young adult</title><author>Bhowmik, Sourav ; Jadav, Devendra ; Tak, Manish ; Meshram, Vikas ; Khera, Sudeep ; Sharma, Rashim ; Kanchan, Tanuj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c251t-8a6d728b426513b3da55b98b694a379e8513b6290266f00c63dead2f132f9f2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Autopsy</topic><topic>Brachiocephalic artery</topic><topic>Left common carotid artery</topic><topic>Stanford ‘type A’ aortic dissection</topic><topic>Sudden death</topic><topic>Young adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhowmik, Sourav</creatorcontrib><creatorcontrib>Jadav, Devendra</creatorcontrib><creatorcontrib>Tak, Manish</creatorcontrib><creatorcontrib>Meshram, Vikas</creatorcontrib><creatorcontrib>Khera, Sudeep</creatorcontrib><creatorcontrib>Sharma, Rashim</creatorcontrib><creatorcontrib>Kanchan, Tanuj</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of forensic and legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhowmik, Sourav</au><au>Jadav, Devendra</au><au>Tak, Manish</au><au>Meshram, Vikas</au><au>Khera, Sudeep</au><au>Sharma, Rashim</au><au>Kanchan, Tanuj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Death due to extensive aortic dissection with an unusual retrograde extension in a young adult</atitle><jtitle>Journal of forensic and legal medicine</jtitle><date>2022-11</date><risdate>2022</risdate><volume>92</volume><spage>102437</spage><pages>102437-</pages><artnum>102437</artnum><issn>1752-928X</issn><eissn>1878-7487</eissn><abstract>Aortic dissection usually manifests in older individuals. It is a rare cause of sudden death in the age group <35 years. Compared to older age groups, this age range is likely to have distinct clinical and pathologic features, uncommon risk factors, and an unusual presentation. This case reports the sudden death of a 34-year-old male due to extensive aortic dissection without any previously known predisposing factors. Autopsy examination showed the presence of aortic dissection with the formation of the false lumen, which extended from the root of the aorta to the whole length of the ascending aorta, arch of the aorta and further up to 27 cm length of the descending aorta. The pathological examination also revealed retrograde involvement of the brachiocephalic artery and left common carotid artery. The reported AD belonged to Stanford ‘type A’. Such extensive AD with unique retrograde extension is rarely reported in Forensic Pathology literature.
•Aortic dissection is an unusual cause of sudden death in the young adults.•Rarely, the aortic dissection can involve the entire length of aorta.•The present case reports the retrograde involvement of the brachiocephalic artery and left common carotid artery along with involvement of almost entire length of aorta.•Medicolegal issues can arise in cases of sudden death due to Aortic dissection when the doctor misses the clinical diagnosis.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.jflm.2022.102437</doi><orcidid>https://orcid.org/0000-0001-7975-2130</orcidid><orcidid>https://orcid.org/0000-0003-4917-2148</orcidid><orcidid>https://orcid.org/0000-0002-2413-5749</orcidid></addata></record> |
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source | ScienceDirect Journals |
subjects | Autopsy Brachiocephalic artery Left common carotid artery Stanford ‘type A’ aortic dissection Sudden death Young adult |
title | Death due to extensive aortic dissection with an unusual retrograde extension in a young adult |
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