A fatal stab wound causing selective injury to the left anterior descending coronary artery, myocardial infarction and delayed cardiac tamponade

作者：Bartoloni Giovanni^*; Trio Francesca; Bartoloni Alessandro; Giorlandino Alexandra; Pucci Angela

来源：Forensic Science International, 2013, 229(1-3): E16-E18.

DOI：10.1016/j.forsciint.2013.03.023

• Stab wound
• Cardiac tamponade
• Coronary artery rupture

We describe an unusual case of delayed cardiac tamponade that led to death 9 days after a penetrating stab wound. The injury consisted of a longitudinal tear in the LAD coronary artery, with an occlusive thrombus and the rupture of the coronary wall into a pseudo-aneurysmatic peri-coronary hematoma. As imaging evidence of pericardial effusion and ischemic electrocardiographic changes were lacking, the diagnosis was only made during post-mortem examination.

• 出版日期2013-6-10