Anterior Tricuspid Leaflet Cleft in an Adult Male: An Autopsy Case Report.
Adult
C-Reactive Protein
/ analysis
Diagnosis, Differential
Ebstein Anomaly
/ diagnosis
Fibrosis
Forensic Pathology
Heart Failure
/ etiology
Heart Ventricles
/ pathology
Hemosiderin
/ metabolism
Humans
Lung
/ metabolism
Macrophages
/ metabolism
Male
Natriuretic Peptide, Brain
/ blood
Papillary Muscles
/ pathology
Peptide Fragments
/ blood
Tricuspid Valve
/ abnormalities
Tricuspid Valve Insufficiency
/ complications
Journal
The American journal of forensic medicine and pathology
ISSN: 1533-404X
Titre abrégé: Am J Forensic Med Pathol
Pays: United States
ID NLM: 8108948
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
pubmed:
14
1
2020
medline:
20
2
2020
entrez:
14
1
2020
Statut:
ppublish
Résumé
The deceased was a 44-year-old male who was treated for a suspected Ebstein's anomaly observed using transthoracic echocardiogram. He was found dead in his bed at home. Autopsy revealed that the septal tricuspid leaflet was intact; however, a large anterior tricuspid leaflet cleft and right atrioventricular cavity dilation were observed. Pathological examination revealed a normal tricuspid valve, except for the presence of a cleft with local fibrosis of the left ventricle papillary muscle and hemosiderin-containing macrophages at both lungs. There were no other abnormalities that may have led to death. It was concluded that he died a cardiac death based on the right heart overload associated with the anterior tricuspid leaflet cleft. This case indicates the possibility that the anterior tricuspid leaflet cleft can cause death and also highlights the necessity of a detailed autopsy to accurately diagnose the cause of death.
Identifiants
pubmed: 31929320
doi: 10.1097/PAF.0000000000000525
pii: 00000433-202003000-00008
doi:
Substances chimiques
Peptide Fragments
0
pro-brain natriuretic peptide (1-76)
0
Natriuretic Peptide, Brain
114471-18-0
C-Reactive Protein
9007-41-4
Hemosiderin
9011-92-1
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
40-41Références
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