Anatomy and Cell Biology

  • 제56권1호
  • /
  • Pages.155-159
  • /
  • 2023
  • /
  • 2093-3665(pISSN)
  • /
  • 2093-3673(eISSN)
대한해부학회 (Korean Association of Anatomists)
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Vascular anatomy and their variations in Situs inversus totalis using postmortem computed tomographic angiography

  • Dawa Zangpo (Division of Forensic Medicine, Graduate School of Medicine, Tottori University) ;
  • Hironobu Nakane (Department of Anatomy, Graduate School of Medicine, Tottori University) ;
  • Morio Iino (Division of Forensic Medicine, Graduate School of Medicine, Tottori University)
  • 투고 : 2022.10.24
  • 심사 : 2022.11.21
  • 발행 : 2023.03.31
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초록

Studies describing the vascular systems and their variations in Situs inversus totalis (SIT) from a whole-body computed tomographic (CT) angiography perspective are lacking. We report a case of SIT in which postmortem CT angiography (PMCTA) was performed as a part of the forensic death investigation and incidentally detected several vascular variations in it. The PMCTA procedure was performed using the multiphase PMCTA protocol. Almost all major vessels were visualized, indeed in a completely reversed pattern. Contrast mixture flow interruptions were noted in the right coronary arterial branches suggesting possible blockage, upon which autopsy revealed >90% vessel occlusions at several locations. As such the cause of death was due to ischemic heart disease. Anomalous origins of the right internal mammary artery; abnormal left thyrocervical trunk and variations in the drainage of testicular veins were noted. Our findings might be helpful to clinicians and add to the body of literature on SIT.

키워드

과제정보

We would like to thank the non-profit organization 'Living Support Service System (LiSS)', Tokyo for letting us use their contrast agent Angiofil® and the perfusion device Virtangio® for the MPMPCTA procedure. This paper was presented at the '106th annual meeting of the Japanese Society of Legal Medicine, which was held in Nagoya from June 8th-10th, 2022, Japan, and at the 39th Chugoku-Shikoku Regional meeting of the Japanese Society of Legal Medicine at Tokushima on October 15th, 2022, Japan.

참고문헌

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