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Discrepancy Between Coronary Angiography and Autopsy Finding

Saxer, Till MD*; Burkhardt, Karim MD; Bendjelid, Karim MD, PhD*

American Journal of Forensic Medicine & Pathology: September 2012 - Volume 33 - Issue 3 - p 247–249
doi: 10.1097/PAF.0b013e3181dd5ba1
Case Reports

Abstract: This article presents the case of a 71-year-old man who developed septic shock complicated by acute renal failure. Because of clinical suspicion of myocardial infarction, 24 hours before passing away, the patient had a coronary cineangiography. Limited incidences and views have been used to avoid contrast-induced nephropathy and no significant lesions were founded. However, the autopsy revealed significant stenosis of coronary arteries. This case report discusses the paradox of this finding.

From the *Intensive Care Unit, Geneva University Hospitals; and †Department of Clinical Pathology, Geneva University Hospitals, Geneva, Switzerland.

Manuscript received December 9, 2009; accepted December 23, 2009.

The authors report no conflicts of interest.

Reprints: Karim Bendjelid, MD, PhD, Médecin Adjoint Agrégé, University Hospitals, Intensive Care Unit, Rue Micheli-du-Crest 24, 1205 Geneva, Switzerland. E-mail: Karim.Bendjelid@hcuge.ch.

© 2012 Lippincott Williams & Wilkins, Inc.