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Diagnosis of coronary artery disease using targeted post-mortem computed tomography coronary angiography:a case report

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Forensic Sciences Research 2017年第2期2卷 107-111页

作者： Lei Wan Yu Shao Donghua Zou Ping Huang Zhengdong Li Maowen Wang Yijiu Chen Shanghai Key Laboratory of Forensic Science Shanghai Forensic Service PlatformDepartment of Forensic PathologyInstitute of Forensic ScienceMinistry of JusticeShanghaiChina

targeted post-mortem computed tomography(PMCT)combined with coronary angiography has the potential to play a significant role in the investigation of sudden cardiac *** authors utilized a targeted PMCT coronary angiography in a case involving a 53-year-old man who died from acute myocardial ischemia and cardiac decompensation which may result from coronary artery disease(CAD).The victim collapsed suddenly at work and died soon after arrival to *** body was examined using PMCT and targeted PMCT coronary *** left anterior descending coronary artery exhibited 75%-100%stenosis in the middle segment;however,the distal segment could not be clearly *** addition,the left circumflex and right coronary artery exhibited calcification,atherosclerosis and an area of 50% *** of cardiogenic pulmonary oedema were also *** imaging results suggested that this individual had coronary atherosclerosis and probably died from *** autopsy and histological examination revealed acute myocardial ischemia and myocardial scarring,confirming the cause of death while excluding other *** summary,targeted post-mortem computed tomography angiography(PMCTA)can visualize the arteries and estimate the degree of principal pathological *** method is a simple,reliable and sensitive technique for identifying the presence of coronary *** is a valuable post-mortem forensic imaging method and should be recommended in the investigation of suspicious cardiac deaths.

关键词： Forensic science forensic pathology post-mortem forensic imaging PMCT PMCTA targeted coronary angiography coronary atherosclerosis

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