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窦房结动脉纤维肌性发育异常所致猝死。

Sudden death due to fibromuscular dysplasia of the sinoatrial nodal artery.

作者信息

Nichols G R, Davis G J, Lefkowitz J B

出版信息

J Ky Med Assoc. 1989 Oct;87(10):504-5.

PMID:2809405
Abstract

A case of sudden death is reported in a previously healthy 28-year-old female. No gross abnormalities of the heart or other organ systems were identified at autopsy. Routine microscopic sections of heart were unremarkable; however, sections of the cardiac conduction system revealed marked fibromuscular dysplasia of the sinoatrial node artery. The authors suggest that pathologists and clinicians index of suspicion be high when confronted with the enigma of sudden death in a patient with no apparent anatomic or toxicologic cause of death.

摘要

据报道,一名28岁既往健康的女性突然死亡。尸检未发现心脏或其他器官系统有明显异常。心脏的常规显微切片未见异常;然而,心脏传导系统切片显示窦房结动脉有明显的纤维肌性发育异常。作者建议,当面对无明显解剖学或毒理学死因的患者突然死亡这一谜团时,病理学家和临床医生应提高怀疑指数。

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1
Sudden death due to fibromuscular dysplasia of the sinoatrial nodal artery.窦房结动脉纤维肌性发育异常所致猝死。
J Ky Med Assoc. 1989 Oct;87(10):504-5.
2
[Sudden cardiac death of a young male due to fibromuscular dysplasia of the left coronary artery].[一名年轻男性因左冠状动脉纤维肌性发育异常导致的心源性猝死]
Arch Med Sadowej Kryminol. 2003 Oct-Dec;53(4):357-62.
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Familial fibromuscular dysplasia presenting as sudden death.表现为猝死的家族性纤维肌发育异常
Am J Cardiovasc Pathol. 1988;2(3):269-72.
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The spectrum of intramyocardial small vessel disease associated with sudden death.与猝死相关的心肌内小血管疾病谱
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Coronary fibromuscular dysplasia presenting as sudden infant death.表现为婴儿猝死的冠状动脉纤维肌性发育异常
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A case of sudden death caused by fibromuscular dysplasia.一例由纤维肌性发育异常导致的猝死病例。
J Clin Pathol. 1999 Jul;52(7):541-2. doi: 10.1136/jcp.52.7.541.
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Histologic findings of the sinus node and the perinodal area in street heroin addicts, victims of sudden unexpected death.街头海洛因成瘾者(意外猝死受害者)窦房结及结周区域的组织学发现。
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[Right ventricular dysplasia and sudden death in young people].[年轻人右心室发育异常与猝死]
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引用本文的文献

1
Histologic spectrum of the cardiac conducting tissue in non-natural deaths under 30 years of age: an analysis of 43 cases with special implications for sudden cardiac death.30岁以下非自然死亡中心脏传导组织的组织学谱:43例分析及其对心源性猝死的特殊意义
Int J Legal Med. 2016 Jan;130(1):173-8. doi: 10.1007/s00414-015-1287-y. Epub 2015 Nov 2.
2
Fibromuscular dysplasia of coronary arteries as a rare cause of death.冠状动脉纤维肌性发育异常作为一种罕见的死亡原因。
Int J Legal Med. 1996;108(4):215-8. doi: 10.1007/BF01369795.