Evidence map›Paper›PMID 18925407›Full record

ArticleInternational journal of legal medicine2009

Marfan syndrome: clinical consequences resulting from a medicolegal autopsy of a case of sudden death due to aortic rupture.

M Klintschar, U Bilkenroth, M Arslan-Kirchner, J Schmidtke, D Stiller

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In one paragraph

Article in International journal of legal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Frontiers in cardiovascular medicine · 2023
    Article
  4. A novel frameshift mutation in Allan-Herndon-Dudley syndrome.International journal of legal medicine · 2022
    Article
  5. A novel splicing mutation in Marfan syndrome.International journal of legal medicine · 2020
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. [Aortic dissection - a not so rare disease].Medizinische Klinik (Munich, Germany : 1983) · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

M KlintscharDepartment of Legal Medicine, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany. Michael.klintschar@med.uni-goettingen.de
U Bilkenroth
M Arslan-Kirchner
J Schmidtke
D Stiller
Medizinische Hochschule Hannover · DEMartin Luther University Halle-Wittenberg · DEUniversitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the sudden death of a 31-year-old man, a medicolegal autopsy was performed. Major findings were a dilated aortic root with a longitudinal rupture of the intima and dissection of aorta and right coronary artery and consequent tamponade of the pericardial sac. Moreover, arachnodactyly and other skeletal deformities in combination with the histological finding of a pseudocystic medionecrosis of the aortic wall were noted. By sequencing of the FBN1 gene, a mutation (1622G>A) leading to the diagnosis of Marfan syndrome was found. Genetic counseling was recommended to the relatives who reported that the father of the deceased had died at the same age from aortic rupture. While fortunately the child of the deceased lacked this mutation, it was found in his younger sister. The results of the autopsy thus enabled early diagnosis and beginning of treatment in the sister and thus a considerable statistical increase in lifespan. With this report, we want to show that medicolegal autopsies can also have medical consequences for relatives. We argue that in all sudden and unexpected deaths in young persons up to 35 years an autopsy should be performed, not only to detect unnatural causes of death but also to identify heritable diseases and thus aid the relatives.

Indexed as

AdipokinesAdultAortaAortic RuptureCardiac TamponadeCoronary VesselsDeath, SuddenDilatation, PathologicFibrillin-1FibrillinsForensic PathologyGenetic TestingHumansMaleMarfan SyndromeMicrofilament ProteinsAdipokinesFBN1 protein, humanFibrillin-1FibrillinsMicrofilament Proteins

Identifiers

PMID18925407
OpenAlexW2068007141

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.