Thube Harshal R, Sane Mandar R
Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, Nagpur, India.
Med Leg J. 2025 Mar;93(1_suppl):42-45. doi: 10.1177/00258172211060688. Epub 2022 Feb 14.
Modern techniques have enabled routine diagnosis of congenital cardiac defects, notwithstanding, there will be some that remain undiagnosed and asymptomatic until adulthood. But this is rarely the case with the patent foramen ovale, with the anomalous aortic origin of the left main coronary artery and bicuspid aortic valve. This case describes the sudden death of a female in her post-partum period due to cardiac tamponade following a ruptured aneurysm of the coronary artery at its origin at the sinus of Valsalva. Autopsy shows patent foramen ovale findings and anomalous aortic origin of coronary artery (AAOCA) and bicuspid aortic valve. The association of AAOCA with bicuspid aortic valve and patent foramen ovale is rare.
尽管现代技术已能够对先天性心脏缺陷进行常规诊断，但仍有一些病例在成年前未被诊断出来且没有症状。但卵圆孔未闭、左主冠状动脉异常起源于主动脉以及二叶式主动脉瓣的情况很少如此。本病例描述了一名女性在产后因瓦尔萨尔瓦窦处冠状动脉瘤破裂导致心脏压塞而猝死。尸检显示卵圆孔未闭、冠状动脉异常起源于主动脉（AAOCA）以及二叶式主动脉瓣。AAOCA与二叶式主动脉瓣和卵圆孔未闭同时存在的情况很罕见。
