Causes of death were dissecting aortic aneurysm
, hepatic angiosarcoma, acute myeloid leukemia, and pulmonary embolism in a patient with cholangiocarcinoma that had metastasized to the peritoneum.
Large dissecting aortic aneurysm compressing the heart chambers sufficient to cause hemodynamic deterioration is a rare condition.
Rare Case of Both Left Atrial and Ventricular Compression by Dissecting Aortic Aneurysm. Balkan Med J 2018;35:406-7
The medical cause of death was given by consultant pathologist Dr Fadel Bennani as "ruptured dissecting aortic aneurysm
and large haemo pericardial tamponade".
Dissecting aortic aneurysm
presenting with cardiovocal hoarseness.
A 26-year-old man had no significant past medical history but had a family history of dissecting aortic aneurysm
in his mother at the age of 40.
PLAINTIFF'S CLAIM The defendants failed to order tests to rule out a dissecting aortic aneurysm
and did not include aortic dissection in the differential diagnosis.
Computed tomography (CT) of the chest revealed a dissecting aortic aneurysm
(figure), which suggested a recurrent laryngeal nerve injury that was caused by the stretching of the nerve around a slowly expanding aortic arch.
Several reviewers have stated that CT is more sensitive in the detection of dissecting aortic aneurysms
than aortography.[7-9] Few false negatives or positives have been reported.