A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection
Ruptured descending thoracic aortic aneurysm (DTAA) is a rare event and remains asymptomatic in over 95% of cases, often leading to the under-detection of most thoracic aortic aneurysms (TAAs) unless incidentally discovered during routine imaging, medical examinations, or autopsy following sudden de...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | Heart Views |
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| Online Access: | https://journals.lww.com/10.4103/heartviews.heartviews_100_24 |
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| author | Jayeshkumar Kanani Kunjan Modi |
| author_facet | Jayeshkumar Kanani Kunjan Modi |
| author_sort | Jayeshkumar Kanani |
| collection | DOAJ |
| description | Ruptured descending thoracic aortic aneurysm (DTAA) is a rare event and remains asymptomatic in over 95% of cases, often leading to the under-detection of most thoracic aortic aneurysms (TAAs) unless incidentally discovered during routine imaging, medical examinations, or autopsy following sudden death. This case report presents a 56-year-old male with a history of hypertension and diabetes mellitus who was managed with regular medication, collapsed suddenly, and was found unconscious. Emergency medical services declared him dead on arrival. An autopsy examination disclosed 2750 g of blood in the left pleural cavity and a 2.5 cm transverse tear in a saccular aneurysm on the descending thoracic aorta with aortic dissection (AD). Histopathological analysis confirmed necrosis, fibrosis, and a mixed inflammatory infiltrate at the rupture site, with features consistent with healed myocardial infarction and grade VII atherosclerosis. This case underscores the importance of recognizing the silent yet fatal nature of saccular aneurysms in the descending thoracic aorta. |
| format | Article |
| id | doaj-art-53946015a5ae4d28974ddd4ab5274028 |
| institution | DOAJ |
| issn | 1995-705X 0976-5123 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj-art-53946015a5ae4d28974ddd4ab52740282025-08-20T03:19:23ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X0976-51232024-10-0125427027410.4103/heartviews.heartviews_100_24A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with DissectionJayeshkumar KananiKunjan ModiRuptured descending thoracic aortic aneurysm (DTAA) is a rare event and remains asymptomatic in over 95% of cases, often leading to the under-detection of most thoracic aortic aneurysms (TAAs) unless incidentally discovered during routine imaging, medical examinations, or autopsy following sudden death. This case report presents a 56-year-old male with a history of hypertension and diabetes mellitus who was managed with regular medication, collapsed suddenly, and was found unconscious. Emergency medical services declared him dead on arrival. An autopsy examination disclosed 2750 g of blood in the left pleural cavity and a 2.5 cm transverse tear in a saccular aneurysm on the descending thoracic aorta with aortic dissection (AD). Histopathological analysis confirmed necrosis, fibrosis, and a mixed inflammatory infiltrate at the rupture site, with features consistent with healed myocardial infarction and grade VII atherosclerosis. This case underscores the importance of recognizing the silent yet fatal nature of saccular aneurysms in the descending thoracic aorta.https://journals.lww.com/10.4103/heartviews.heartviews_100_24aortic aneurysmaortic dissectionaortic rupturecardiovascular emergencydescending thoracic aortic aneurysmhypertensionsaccular aneurysmthoracic aortic disease |
| spellingShingle | Jayeshkumar Kanani Kunjan Modi A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection Heart Views aortic aneurysm aortic dissection aortic rupture cardiovascular emergency descending thoracic aortic aneurysm hypertension saccular aneurysm thoracic aortic disease |
| title | A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection |
| title_full | A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection |
| title_fullStr | A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection |
| title_full_unstemmed | A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection |
| title_short | A Rare Case of Sudden Death due to Rupture of Saccular Descending Thoracic Aortic Aneurysm with Dissection |
| title_sort | rare case of sudden death due to rupture of saccular descending thoracic aortic aneurysm with dissection |
| topic | aortic aneurysm aortic dissection aortic rupture cardiovascular emergency descending thoracic aortic aneurysm hypertension saccular aneurysm thoracic aortic disease |
| url | https://journals.lww.com/10.4103/heartviews.heartviews_100_24 |
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