Natural cardiac death after stent implantation with iatrogenic injury of a coronary artery
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.
KeywordsCardiac catheterization Coronary artery Coronary artery dissection Myocardial infarction
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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