Koster Hunter, Gitto Lorenzo
Department of Pathology and Laboratory Medicine, Loyola University Medical Center, 2160 South 1 Ave, Maywood, IL, 60153, USA.
Cook County Medical Examiner's Office, 2121 W Harrison St, Chicago, IL, 60612, USA.
Forensic Sci Med Pathol. 2025 Mar 21. doi: 10.1007/s12024-025-00988-8.
Sudden cardiac death due to an isolated right ventricular thromboembolism is an uncommon cause of death. In the reported case, a healthy, asymptomatic young male with no past medical history outside of obesity and his age was found unresponsive by a family member who suspected him to be sleeping. Examination of the heart at autopsy revealed a large serpiginous, organized and obstructive blood clot compromising most of the right ventricle with no other cardiac abnormalities and without any evidence of a pulmonary embolism. The patient was found to not have any history of substance abuse, genetic predispositions, kidney disease, or COVID-19 infection which has all been linked to ventricular thrombi.
孤立性右心室血栓栓塞导致的心源性猝死是一种罕见的死亡原因。在报告的病例中，一名健康、无症状的年轻男性，除肥胖和年龄外无既往病史，被一名怀疑他在睡觉的家庭成员发现无反应。尸检时对心脏的检查发现一个大的、蜿蜒状、机化且阻塞性的血凝块，累及大部分右心室，无其他心脏异常，也没有任何肺栓塞的证据。该患者没有任何药物滥用史、遗传易感性、肾脏疾病或COVID-19感染史，而这些都与心室血栓有关。
