TY - JOUR PY - 2005// TI - Sudden death due to pulmonary thromboembolism after car driving: a case report JO - Medicine, science, and the law A1 - Hitosugi, Masahito A1 - Yufu, Tetsuo A1 - Kido, Masahito A1 - Yokoyama, Tomoko A1 - Nagai, Toshiaki A1 - Tokudome, Shogo A1 - Joh, Kensuke SP - 179 EP - 181 VL - 45 IS - 2 N2 - An autopsy case of sudden death due to pulmonary thromboembolism after a car trip is reported. A 56-year-old Japanese man with hypertension and atrial fibrillation suddenly died immediately after having driven for two and a half hours. At autopsy, the pulmonary arteries were found to be filled with dark-red, coiling thrombi consisting of fibrin and red blood cells. In the dilated right popliteal vein, a thrombus consisting of fibroblasts, a large number of collagen fibres, and newly formed capillaries was attached to the vessel wall. The cause of death was determined to be pulmonary embolism due to the thrombus of the right popliteal vein. Two and a half hours of prolonged sitting while driving a car encouraged thrombus formation. We believe that this case, the first autopsy case of fatal pulmonary thromboembolism after a car trip to be reported, highlights the importance of predicting venous thrombosis of the leg or fatal venous thromboembolism after a car trip.
Language: en
LA - en SN - 0025-8024 UR - http://dx.doi.org/ ID - ref1 ER -