Un caso de muerte súbita por estenosis aórtica subvalvular

  1. Enrique Dorado-Fernández
  2. Beatriz Aguilera-Tapia
  3. Manuel F. Carrillo-Rodríguez
Journal:
Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

ISSN: 0377-4732

Year of publication: 2019

Volume: 45

Issue: 4

Pages: 170-173

Type: Article

DOI: 10.1016/J.REML.2018.10.002 DIALNET GOOGLE SCHOLAR

More publications in: Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

Abstract

Subaortic stenosis, although an infrequent pathology, is prone to cause a sudden death through an arrhythmogenic mechanism. Although its aetiology is still unclear, and given an assumed underlying genetic component, the autopsy becomes an essential tool for post-mortem diagnosis of the disease and to give relevant medical advice to family members. A case of sudden death of a 39 year-old woman involving this aetiology is presented, and the medico-legal findings, as well as a discussion on the known family's medical background.

Bibliographic References

  • Aboulhosn, J., & Child, J. S. (2006). Left ventricular outflow obstruction: Subaortic stenosis, bicuspid aortic valve, supravalvar aortic stenosis, and coarctation of the aorta. Circulation, 114(22), 2412-2422. doi:10.1161/CIRCULATIONAHA.105.592089
  • Adabag, A. S., Luepker, R. V., Roger, V. L., & Gersh, B. J. (2010). Sudden cardiac death: Epidemiology and risk factors. Nature Reviews Cardiology, 7(4), 216-225. doi:10.1038/nrcardio.2010.3
  • Bayés de Luna, A., Massó van-Roessel, A., Escobar-Robledo, L. A., & Arimany-Manso, J. (2018). Update of sudden cardiac death: Epidemiology and risk stratification. [Actualización de la muerte súbita cardiaca: epidemiología y estratificación del riesgo] Revista Espanola De Medicina Legal, 44(1), 5-12. doi:10.1016/j.reml.2017.10.002
  • Cilliers, A. M., & Gewillig, M. (2002). Rheology of discrete subaortic stenosis. Heart, 88(4), 335-336. doi:10.1136/heart.88.4.335
  • Fatimi, S. H., Ahmad, U., Javed, M. A., Shamim, S., & Ahmad, R. (2006). Familial membranous subaortic stenosis: Review of familial inheritance patterns and a case report. Journal of Thoracic and Cardiovascular Surgery, 132(6), 1484-1486.e1. doi:10.1016/j.jtcvs.2006.08.034
  • Gokalp, S., & Oztunc, F. (2014). Clinically asymptomatic myocardial bridging in a child with familial subaortic stenosis. Cardiology in the Young, 24(3), 552-554. doi:10.1017/S1047951113000875
  • Katz, N. M., Buckley, M. J., & Liberthson, R. R. (1977). Discrete membranous subaortic stenosis. report of 31 patients, review of the literature, and delineation of management. Circulation, 56(6), 1034-1038. doi:10.1161/01.CIR.56.6.1034
  • Luis, M., Izquierdo, M. A., Rezola, E., & Pastor, E. J. (0000).
  • Marrugat, J., Elosua, R., & Gil, M. (1999). Sudden cardiac death epidemiology in spain. [Epidemiología de la muerte súbita cardíaca en España] Revista Espanola De Cardiologia, 52(9), 717-725. doi:10.1016/s0300-8932(99)74993-6
  • Oliva, A., Brugada, R., D'Aloja, E., Boschi, I., Partemi, S., Brugada, J., & Pascali, V. L. (2011). State of the art in forensic investigation of sudden cardiac death. American Journal of Forensic Medicine and Pathology, 32(1), 1-16. doi:10.1097/PAF.0b013e3181c2dc96
  • Ozsin, K. K., Toktas, F., Sanri, U. S., Yavuz, S., & Yavuz, S. (2016). Discrete subaortic stenosis in an adult patient. Eur Res J., 2, 66-70.
  • Paul, J. J., Tani, L. Y., Williams, R. V., Lambert, M. L., Hawkins, J. A., & Minich, L. L. (0000).
  • Petsas, A. A., Anastassiades, L. C., Constantinou, E. C., & Antonopoulos, A. G. (1998). Familial discrete subaortic stenosis. Clinical Cardiology, 21(1), 63-65. doi:10.1002/clc.4960210113
  • Ruiz Ruiz, F. J., González Cortijo, J., Zalba Etayo, B., León Cinto, C., & Sánchez Miret, J. I. (2003). Asymptomatic aortic valve stenosis and sudden death. [Estenosis aórtica asintomática y muerte súbita] Anales De Medicina Interna, 20(10), 529-531.
  • Singh, G. K. (2000). Sub valvular aortic stenosis. Curr Treat Options Cardiovasc Med, 2, 529-535.
  • Turan, A. A., Guven, T., Karayel, F., Pakis, I., Gurpinar, K., & Ozaslan, A. (2006). Subvalvular aortic stenosis as a cause of sudden death: Two case reports. American Journal of Forensic Medicine and Pathology, 27(1), 90-92. doi:10.1097/01.paf.0000203301.96511.f7
  • Urbach, J., Glaser, J., Balkin, J., Rosenmann, D., Levy, R., Marin, G., & Vidne, B. (1985). Familial membranous subaortic stenosis. Cardiology, 72(4), 214-217. doi:10.1159/000173876
Data source: Dialnet