Cina S J, Raso D S, Crymes L W, Upshur J K
Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston 29425.
Am J Forensic Med Pathol. 1994 Jun;15(2):142-5. doi: 10.1097/00000433-199406000-00010.
A variety of emboli may be encountered at autopsy. While pulmonary thromboemboli are a relatively common cause of sudden "natural" death, the medical examiner may discover more exotic emboli during the postmortem examination. Other endogenous sources of emboli include the atheromatous debris, bone marrow, fat, liver, brain, trophoblast, and amniotic fluid. Exogenous ("foreign body") emboli may be introduced during medical/surgical procedures or following penetrating trauma. Fatal intravenous air and gas emboli are also well documented. This report details the first case of a fatal suture embolism to the left anterior descending coronary artery following mitral valve replacement. The role of the medical examiner in the investigation of iatrogenic fatalities is discussed.
尸检时可能会发现各种各样的栓子。虽然肺血栓栓塞是突然“自然”死亡的相对常见原因，但法医在尸检过程中可能会发现更罕见的栓子。栓子的其他内源性来源包括动脉粥样硬化碎片、骨髓、脂肪、肝脏、大脑、滋养层和羊水。外源性（“异物”）栓子可能在医疗/外科手术过程中或穿透性创伤后进入。致命的静脉空气和气体栓子也有充分的文献记载。本报告详细介绍了二尖瓣置换术后左前降支冠状动脉发生致命缝线栓塞的首例病例。讨论了法医在医源性死亡调查中的作用。
