Vock R, Schulz E
Z Rechtsmed. 1986;96(1):67-78. doi: 10.1007/BF00200861.
A 19-year-old school boy suffered from fluctuating uncharacteristic chest pain in the last 20 h before his death. He died unexpectedly within a few minutes of a hemopericardium, which resulted from an aneurysmal rupture of the ascending aorta. The patient's past history as well as the autopsy and ultrastructural findings led to the diagnosis of Marfan's syndrome with alterations of the cardiovascular skeletal system but no ophthalmological involvement ("oligosymptomatic" form of Marfan's syndrome). Appraisal of the cause of death is made more difficult by the fact that medical treatment was undertaken on the same day, whereby subtotal liver crushing was established that had resulted from attempts at resuscitation.
一名19岁的男学生在死前20小时内出现了反复无常的非典型胸痛。他在几分钟内因升主动脉瘤破裂导致心包积血而意外死亡。患者的既往病史以及尸检和超微结构检查结果导致诊断为马凡综合征，伴有心血管骨骼系统改变，但无眼科受累（马凡综合征的“症状轻微”型）。由于当天进行了医疗救治，而复苏尝试导致了肝脏部分挤压伤，这使得死因评估变得更加困难。
