Makino Yohsuke, Inokuchi Go, Yokota Hajime, Hayakawa Mutsumi, Yajima Daisuke, Motomura Ayumi, Chiba Fumiko, Torimitsu Suguru, Nakatani Yukio, Iwase Hirotaro
Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan; Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan.
Department of Legal Medicine, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku 260-8670, Chiba, Japan.
Forensic Sci Int. 2015 Aug;253:e10-5. doi: 10.1016/j.forsciint.2015.05.015. Epub 2015 May 22.
We present an autopsy case of sudden death due to coronary artery dissection associated with fibromuscular dysplasia (FMD) in a young female patient. Postmortem selective coronary artery computed tomography (CT) angiography revealed dissections of the left anterior descending and left circumflex arteries. These findings were confirmed by subsequent autopsy. Histopathological examination revealed coronary artery FMD, which is considered a risk factor for dissection. To the best of our knowledge, this is the first postmortem radiology-pathology correlation of coronary artery dissection associated with FMD.
我们报告一例年轻女性患者因与纤维肌发育不良（FMD）相关的冠状动脉夹层导致猝死的尸检病例。死后选择性冠状动脉计算机断层扫描（CT）血管造影显示左前降支和左旋支动脉夹层。这些发现随后经尸检证实。组织病理学检查显示冠状动脉FMD，这被认为是夹层的一个危险因素。据我们所知，这是首例与FMD相关的冠状动脉夹层的死后放射学-病理学相关性研究。
