Achesinski Amber L, Gunther Wendy M, Pearman Catherine B
Eastern Virginia Medical School, 825 Fairfax Ave., Norfolk, VA, 23507.
Office of the Chief Medical Examiner, Tidewater District: 830 Southampton Ave., Suite 100, Norfolk, VA, 23510.
J Forensic Sci. 2017 May;62(3):812-814. doi: 10.1111/1556-4029.13372. Epub 2017 Jan 23.
A 35-year-old male patient was found in cardiac arrest in his vehicle, with no apparent injuries after a minor motor vehicle collision. The decedent was found to have a saddle pulmonary embolus with a thromboembolus impacted across a patent foramen ovale and a paradoxical embolism in the circumflex coronary artery, as well as significant clotting in the deep veins of both lower extremities. There were no risk factors in his history to explain the deep venous thrombosis; family history suggested the possibility of an unrecognized clotting disorder.
一名35岁男性患者在其车内被发现心脏骤停，他在一次轻微机动车碰撞后没有明显受伤。尸检发现死者有鞍状肺栓塞，血栓栓子穿过未闭卵圆孔，在左旋支冠状动脉形成反常栓塞，同时双下肢深静脉有大量血栓形成。其病史中没有可解释深静脉血栓形成的危险因素；家族史提示可能存在未被识别的凝血障碍。
