Skip to main content

Advertisement

Log in

A heart of stone: an autopsy case of massive myocardial calcification

  • Case Report
  • Published:
Forensic Science, Medicine and Pathology Aims and scope Submit manuscript

Abstract

A case of massive calcification of the myocardium is presented that was diagnosed by postmortem computed tomography (PMCT) and confirmed by conventional autopsy. There are two types of pathologic calcification, dystrophic and metastatic. Massive calcification of the myocardium is associated with variable clinical outcomes, including sudden unexpected death. A 53-year-old man was found after he collapsed beside a walkway. He was transferred to hospital and died approximately two months later. To investigate the cause of death, PMCT and conventional autopsy were performed, which revealed massive calcification of the myocardium, a very rare finding at autopsy. Massive myocardial calcification was one of the possible causes of his collapse. PMCT may be a useful diagnostic tool for detecting massive calcification of the myocardium following sudden cardiac death.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Shackley BS, Nquyen TP, Shivkumar K, Finn PJ, Fishbein MC. Idiopathic massive myocardial calcification: a case report and review of the literature. Cardiovasc Pathol. 2011;20:e79–83.

    Article  PubMed  Google Scholar 

  2. Austin CO, Kramer D, Canabal J, Krishna M, Mergo P, Shapiro BP. A heart of stone: a case of acute development of cardiac calcification and hemodynamic collapse. J Cariovasc Comput Tomogr. 2013;7:66–8.

    Article  Google Scholar 

  3. Matsui M, Okayama S, Takitsume A, Morimoto K, Samejima K, Uemura S, et al. Heart failure associated with metastatic myocardial calcification in a hemodialysis patients with progressive calcification of the hand. Cardiorenal Med. 2012;2:251–5.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bedford PJ, Routine CT. Scan combined with preliminary examination as a new method in determining the need for autopsy. Forensic Sci Med Pathol. 2012;8:390–4.

    Article  PubMed  Google Scholar 

  5. Aras D, Topaloglu S, Demirkan B, Deveci B, Ozeke O, Korkmaz S. Porcelain heart: a case of massive myocardial calcification. Int J Card Imaging. 2006;22:123–6.

    Article  Google Scholar 

  6. Freeman J, Dodd JD, Ridge CA, O’Neill A, McCreery C, Quinn M. "Porcelain heart" cardiomyopathy secondary to hyperparathyroidism: radiographic, echocardiographic, and cardiac CT appearances. J Cardiovasc Comput Tomogr. 2010;4:402–4.

    Article  PubMed  Google Scholar 

  7. Leth PM. Computerized tomography used as a routine procedure at postmortem investigations. Am J Forensic Med Pathol. 2009;30:219–22.

    Article  PubMed  Google Scholar 

  8. Ishida M, Gonoi W, Hagiwara K, Takazawa Y, Akahane M, Fukayama M, et al. Hypostasis in the heart and great vessels of non-traumatic in-hospital death cases on postmortem computed tomography: relationship to antemortem blood tests. Leg Med (Tokyo). 2011;13:280–5.

    Article  Google Scholar 

  9. Visentin S, Pelletti G, Dengo C, De Matteis M. Montisci Ml. Post-autopsy computed tomography. Pros and cons in a firearm death. Forensic Sci Int. 2017;276:e16–e9.

    Article  PubMed  Google Scholar 

Download references

Funding

This work was supported by the National Forensic Service (NFS2017MED02), Ministry of Interior, Republic of Korea.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joo-Young Na.

Ethics declarations

Conflict of interest

Author Joo-Young Na declares that he has no conflict of interest.

Human and animal studies

This article does not contain any studies involving human participants or animals performed by the author. Moreover, this case report was based on medicolegal autopsy underwent with Court’s warrant requested by the public prosecutor.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Na, JY. A heart of stone: an autopsy case of massive myocardial calcification. Forensic Sci Med Pathol 14, 102–105 (2018). https://doi.org/10.1007/s12024-017-9936-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12024-017-9936-8

Keywords

Navigation