Yagmurov O D, Fedotova E P, Davydova Z V, Kalinina E Yu, Anichkov N M
Bureau of forensic medicine, St. Petersburg, Russia.
St. Petersburg State Pediatric Medical University, St. Petersburg, Russia.
Sud Med Ekspert. 2022;65(4):57-60. doi: 10.17116/sudmed20226504157.
The objective of the study is to consider the problem of diagnostics of a rare vasculopathy, fibromuscular dysplasia of coronary arteries, by the case study of a 19-year-old serviceman, an athlete with sudden death occurred during slight physical exertion. After repeated histological examination as part of the forensic medical examination, the diagnosis was made: «multifocal fibromuscular dysplasia of the coronary arteries and ascending aortic arch, complicated by acute left ventricular failure.» This disease often manifests with the acute coronary syndrome in people of young age. Therefore, special attention was given to the macroscopic and histological features of fibromuscular dysplasia of arteries.
本研究的目的是通过对一名19岁军人（一名运动员，在轻微体力活动时突然死亡）的病例研究，探讨一种罕见的血管病变——冠状动脉纤维肌发育不良的诊断问题。作为法医检查的一部分，经过反复组织学检查后，做出了诊断：“冠状动脉和升主动脉弓多灶性纤维肌发育不良，并发急性左心室衰竭”。这种疾病在年轻人中常表现为急性冠状动脉综合征。因此，特别关注了动脉纤维肌发育不良的宏观和组织学特征。
