ArticleForensic science, medicine, and pathology2010
An unusual presentation of thoracic aortic aneurysm rupturing into the esophagus: an autopsy case report.
Article in Forensic science, medicine, and pathology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- Huge Thoracic Aortic Aneurysm Presenting with Jaundice: A Case Report.Vascular health and risk management · 2022Article
- Article
- Sudden cardiac death from aortoesophageal fistula: an autopsy case report of a rare complication of thoracic aortic aneurysm.Forensic science, medicine, and pathology · 2017Article
- Syphilitic aortic aneurysm rupture as cause of sudden death.Forensic science, medicine, and pathology · 2012Article
- Thoracic aortic aneurysm rupture into the esophagus.Forensic science, medicine, and pathology · 2012Article
- Rupture of an ascending aortic aneurysm as a cause of sudden death.Autopsy & case reportsArticle
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Ruptured aortic aneurysms often present with sudden death, and have varied signs and symptoms depending on the site of rupture and hemorrhage. We report a case of an aortic aneurysm with an aorto-esophageal fistula, which showed slow gastrointestinal bleeding for days before death. A 79-year-old male was brought to a hospital emergency unit, with a history of melena for about 3 days, and recent hematemesis. He collapsed immediately after endoscopy and died. A forensic autopsy which was performed due to possible medical malpractice demonstrated a large saccular aneurysm of the descending thoracic aorta with a fistula into the esophagus. A significant finding was a lid or valve shaped thrombus covering the aortic orifice of the fistula, which may have partly contributed to slow bleeding, and which may have been dislodged by endoscopy. This case suggests that very careful management of aorto-esophageal fistula is needed in patients with clinical signs of possible thoracic aortic aneurysm with slow hemorrhage.
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