Skip Navigation LinksHome > September 2014 - Volume 35 - Issue 3 > Acute Aortic Dissection With Carotid and Coronary Malperfusi...
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American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0000000000000098
Case Reports

Acute Aortic Dissection With Carotid and Coronary Malperfusion: From Imaging to Pathology

Lardi, Christelle MD*; Lobrinus, Johannes-Alexander MD; Doenz, Francesco MD; Fracasso, Tony MD, PD*; Augsburger, Marc PhD; Mangin, Patrice MD, PhD; Grabherr, Silke MD, PD§

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Abstract

Postmortem imaging, including postmortem computed tomography angiography, has become an integral tool in forensic investigation in recent years. A relatively new technique, multiphase postmortem computed tomography angiography, allows detailed visualization of the vascular system and makes it possible to evaluate the dynamic perfusion of aortic branches, including the coronary arteries. Here, we report a case of aortic dissection involving the ascending aorta (type A) with coronary and carotid malperfusion. This case illustrates the complementary use of many of the diagnostic tools that are now available in forensic practice, from imaging to conventional autopsy to pathologic techniques such as immunohistochemistry.

Copyright © 2014 by Lippincott Williams & Wilkins

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