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Natural cardiac death after stent implantation with iatrogenic injury of a coronary artery

  • Elke DoberentzEmail author
  • Anja Wegner
  • Julian Geile
  • Burkhard Madea
Images in Forensics
Part of the following topical collections:
  1. Topical Collection of Images in Forensics

Abstract

In forensic practice, autopsies are regularly carried out in cases of suspected medical malpractice to determine whether a treatment resulted in death. Intraoperative deaths, as well as deaths shortly after an operation, can be particularly suspicious as iatrogenic. We report a case of a 75-year-old woman with a complaint of intermittent angina pectoris who underwent cardiac catheterization. Intra-interventionally, coronary artery dissection occurred and was stabilized by the placement of two stents. After this procedure, the patient suffered from chest pain. At 5.5 h after the procedure ended, the woman suddenly and unexpectedly died. At forensic autopsy, a hemopericardium with cardiac tamponade was found to have been caused by the rupture of a myocardial infarction that was several days old and had remained clinically unrecognized. This case report illustrates the importance of forensic autopsies in terms of external quality assurance in medicine.

Keywords

Cardiac catheterization Coronary artery Coronary artery dissection Myocardial infarction 

Notes

Compliance with ethical standards

This article does not contain any studies with human participants or animals.

Conflict of interest

The corresponding author declares also on behalf of her co-authores there is no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Institute of Legal MedicineUniversity of BonnBonnGermany

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