Sudden death associated with bloodless aortic dissection

摘要: We report a case of rapidly fatal aortic dissection which was unusual because no intimal tear present and blood in the dissected wall, although involved entire aorta. Death considered to be due acute myocardial ischaemia from involving left coronary artery. Prominent cystic medial necrosis present. There history hypertension only histological evidence ventricular hypertrophy. No other clinical or pathologic states associated with were Although medionecrosis probable cause this case, it is small proportion patients absence Marfan's syndrome, more recently investigated defects composition wall connective tissue components may relevant factors causation many cases dissection.