Isolated dissection of the coronary artery: a postmortem study of seven cases.

Abstract:

:We present the clinical and postmortem findings in seven adults (four females and three males), who died with dissection of the coronary arteries. The median age was 56 years. Five of the coronary artery dissections (CADs) were spontaneous and two followed trauma: one a motor vehicle accident, the other occurred during angiography. Four cases died suddenly or within 30 minutes. Three had symptoms of at least 24 hours duration and, not unexpectedly, had histological evidence of myocardial infarction. Four dissections involved the left anterior descending coronary artery, two the right coronary artery and one a dominant circumflex artery. Histological examination of the dissected arteries in four cases demonstrated necrosis of the medial smooth muscle which was intimately related to intimal tears and/or an inflammatory reaction. From a review of the literature and this study of seven cases, we conclude that CAD is multifactorial in causation and has a wide spectrum of clinical presentations. Presently the role of coronary vasospasm and prior trauma appears underestimated, and in many cases of CAD the nature of the primary initiating event remains open to speculation.

journal_name

Pathology

journal_title

Pathology

authors

Mulvany NJ,Ranson DL,Pilbeam MC

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

307-11

issue

3

eissn

0031-3025

issn

1465-3931

journal_volume

33

pub_type

杂志文章
  • Quantitative determination of serum methemalbumin.

    abstract::We have devised a simple, sensitive quantitative method for the determination of serum methemalbumin. The method uses a modified Allen correction to correct the alpha band of methemalbumin at 623 nm for background turbidity. The technique is robust and is more sensitive than Schumm's test. ...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028609059482

    authors: Cowley DM,Powell VR

    更新日期:1986-07-01 00:00:00

  • Seroimmunology of AIDS retrovirus infection. I. Use of immunofluorescence assay to confirm sera with ELISA reactivity.

    abstract::One thousand sera shown to be reactive by one of two commercial enzyme linked immunosorbent assays (ELISA) for antibodies to the AIDS virus were referred to the NSW State Reference Laboratory for confirmatory assays. Each serum was retested by two commercial ELISA systems (Abbott and ENI), the ENI exclusionary H9 ELIS...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028609087565

    authors: Imrie AA,Kehrer S,Smith GW,Penny R,Cooper DA

    更新日期:1986-10-01 00:00:00

  • Ovarian sex cord-stromal tumours: an update in recent molecular advances.

    abstract::Sex cord-stromal tumours (SCSTs) consist of a heterogeneous group of neoplasms with diverse clinicopathological features and biological behaviour. They often present as a diagnostic challenge as they have varied and occasionally overlapping histomorphology and some may even mimic non-SCSTs. An accurate diagnosis is im...

    journal_title:Pathology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pathol.2017.10.008

    authors: Lim D,Oliva E

    更新日期:2018-02-01 00:00:00

  • Molecular dissection of large cell carcinomas of the lung with null immunophenotype.

    abstract::The aim of this study was to subcategorise large cell carcinoma (LCC) with null immunophenotype according to the World Health Organization (WHO) Classification of 2015 into the existing groups of adenocarcinoma and squamous cell carcinoma by further molecular genetic analysis. Lineage-specific molecular alterations of...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1016/j.pathol.2018.03.005

    authors: Harms A,Endris V,Winter H,Kriegsmann M,Stenzinger A,Schirmacher P,Warth A,Kazdal D

    更新日期:2018-08-01 00:00:00

  • Genetic changes of the E-cadherin and APC tumour suppressor genes in clear cell renal cell carcinoma.

    abstract:AIMS:The roles of tumour suppressor genes: adenomatous polyposis coli (APC) and E-cadherin (CDH1) were investigated in clear cell renal cell carcinoma. METHODS:Forty-five human clear cell renal cell carcinomas were tested for APC gene instability by polymerase chain reaction/loss of heterozygosity using the restrictio...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313020410001671984

    authors: Pećina-SLaus N,Gall-TroSelj K,SLaus M,Radić K,NikuSeva-Martić T,Pavelić K

    更新日期:2004-04-01 00:00:00

  • A biometrical view on normal values of CD4 and CD8 lymphocyte counts in peripheral blood.

    abstract::Statistical methods have been used to determine an optimal approach to the definition of the reference range for CD4 ("helper") and CD8 ("suppressor/cytotoxic") T cell numbers and the CD4/CD8 ratio in the peripheral blood. A graphical presentation of the absolute values for CD4 and CD8 for 85 healthy blood donors show...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028809085219

    authors: Zachar V,Mikulecky M,Mayer V,Mackay I,Frazer I

    更新日期:1988-10-01 00:00:00

  • Evaluation of the Clearview Clostridium difficile Toxin A Test and various selective culture media in comparison with the cytotoxin assay for the diagnosis of Clostridium difficile-associated diarrhoea.

    abstract:AIM:Clostridium difficile is the major pathogen associated with nosocomial diarrhoea. We evaluated the performances of a commercially available toxin A enzyme immunoassay (EIA; Clearview C. difficile Toxin A Test), culture and tissue culture cytotoxin assay in the diagnosis of C. difficile-associated diarrhoea. METHOD...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/0031302031000123236

    authors: Anderson TL,McGregor A

    更新日期:2003-06-01 00:00:00

  • An improved procedure for accurate assays of factor VIII.

    abstract::An improved one-stage method for accurate assays of factor VIII combines highly reproducible end points with elimination of temporal drift and of subjective factors involved in graphic analysis. Activated deficient plasma substrate (ADPS) is used as a single reagent for parallel tests. The assays can be performed manu...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313027909061940

    authors: Margolis J

    更新日期:1979-04-01 00:00:00

  • Azthreonam: in vitro activity against urinary pathogens.

    abstract::The in vitro activity of azthreonam, a novel monocyclic beta-lactam antibiotic, was investigated for Gram negative urinary pathogens by determining the susceptibilities of 105 consecutive isolates from specimens submitted to the Auckland Hospital microbiology laboratory. All were sensitive or of intermediate sensitivi...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028309084704

    authors: Lang SD,McKenzie D

    更新日期:1983-04-01 00:00:00

  • Cardiac pathology and adult aboriginal mortality: a coronial study of sudden and external cause deaths in the top end of the Northern Territory in 1990.

    abstract::A retrospective review of coronial records was performed for 179 adult decedents who came to coronial autopsy in 1990 and who had been living in the Top End of the Northern Territory at the time of death. The directly standardized rate of autopsy-examined sudden death was 7.4 times higher for Aboriginal people than fo...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313029600169503

    authors: Weeramanthri TS,Powers JR,Collier JW

    更新日期:1996-01-01 00:00:00

  • Tumour infiltrating lymphocytes are predictors of lymph node metastasis in early gastric cancers.

    abstract::Lymph node metastasis (LNM) is an important factor for predicting prognosis and selecting appropriate treatment in early gastric cancers (EGCs). We investigated the histopathological and microenvironmental predictors of LNM in EGCs. We retrieved 43 cases of EGC without LNM and 59 cases with LNM. Clinicopathological va...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1016/j.pathol.2017.06.003

    authors: Kim JY,Kim CH,Lee Y,Lee JH,Chae YS

    更新日期:2017-10-01 00:00:00

  • Advances in laboratory testing for HIV.

    abstract::In 2004, the diagnosis of established human immunodeficiency virus (HIV) infection can be made with close to 100% assurity. The extraordinarily engineered performances of HIV-screening assays are unprecedented. The well-established confirmatory tests performed by well-versed laboratories using criteria that are well u...

    journal_title:Pathology

    pub_type: 杂志文章,评审

    doi:10.1080/00313020400010922

    authors: Dax EM,Arnott A

    更新日期:2004-12-01 00:00:00

  • Molecular pathology of prostate cancer: a practical approach.

    abstract::While localised prostate cancer can be cured by local treatment, 'high-risk' prostate cancer often progresses to castration resistant disease and remains incurable with a dismal prognosis. In recent years, technical advances and development of novel methodologies have largely contributed to a better understanding of u...

    journal_title:Pathology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pathol.2020.10.003

    authors: Vlajnic T,Bubendorf L

    更新日期:2021-01-01 00:00:00

  • Childhood cancer in New Zealand 1990 to 1993.

    abstract::An epidemiological study of childhood cancer in New Zealand identified 409 children aged 0 to 14 years with malignant neoplasms newly diagnosed between 1990 and 1993 inclusive. The original microscopic material on which the diagnoses were based was reviewed in 398 cases and the neoplasms were allocated into the 12 maj...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/003130299105232

    authors: Becroft DM,Dockerty JD,Berkeley BB,Chan YF,Lewis ME,Skeen JE,Synek BJ,Teague LR

    更新日期:1999-05-01 00:00:00

  • Plasma free metanephrines are superior to urine and plasma catecholamines and urine catecholamine metabolites for the investigation of phaeochromocytoma.

    abstract:AIM:To compare the relative diagnostic efficacy of several different tests used to establish a diagnosis of phaeochromocytoma, in patients with a proven diagnosis of phaeochromocytoma, and in hospital patients with significant disease of other types. METHODS:We prospectively compared biochemical markers of catecholami...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313020802579284

    authors: Hickman PE,Leong M,Chang J,Wilson SR,McWhinney B

    更新日期:2009-02-01 00:00:00

  • Premalignant lesions of the urinary bladder.

    abstract::Although most carcinomas of the bladder occur de novo, some vesical lesions progress to malignancy over time. These lesions appear morphologically benign, but often harbour genetic changes that signify their malignant potential. Despite their benign appearance, accurate identification is important given that these pat...

    journal_title:Pathology

    pub_type: 杂志文章,评审

    doi:10.1097/PAT.0b013e32835f6169

    authors: Samaratunga H,Martignoni G,Egevad L,Delahunt B

    更新日期:2013-04-01 00:00:00

  • Sensitivity of respiratory bacteria to lignocaine.

    abstract:AIM:Lignocaine, a topical anaesthetic agent, is generally used in variable concentrations usually between 2% and 4% on the vocal cords prior to flexible bronchoscopy and bronchoalveolar lavage (BAL) procedures. The aim of this study was to investigate whether 2% or 1% lignocaine significantly inhibits the growth of org...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313020500168752

    authors: Chandan SS,Faoagali J,Wainwright CE

    更新日期:2005-08-01 00:00:00

  • Extramedullary hemopoiesis arising in the gut mimicking carcinoma of the cecum.

    abstract::A patient initially treated for iron deficiency anemia was later found to have myelofibrosis. She developed increasing splenomegaly and then a mass in the right iliac fossa for which a right hemicolectomy was performed. Histopathology demonstrated extramedullary hemopoiesis in the spleen and cecum. The patient subsequ...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313029400169151

    authors: Sunderland K,Barratt J,Pidcock M

    更新日期:1994-01-01 00:00:00

  • High reproducibility is attainable in assessing histoprognostic parameters of pT1 colorectal cancer using routine histopathology slides and immunohistochemistry analyses.

    abstract::Assessment of the risk of lymph node invasion and tumour recurrence is critical to determine whether additional surgery is required in patients with endoscopically-removed pT1 colorectal cancer (CRC). A reproducible assessment of this risk of recurrence based on histopathological parameters is crucial for relevant the...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1016/j.pathol.2018.10.007

    authors: Barel F,Auffret A,Cariou M,Kermarrec T,Samaison L,Bourhis A,Badic B,Jézéquel J,Cholet F,Bail JP,Marcorelles P,Nousbaum JB,Robaszkiewicz M,Doucet L,Uguen A

    更新日期:2019-01-01 00:00:00

  • HPV detection and genotyping of head and neck cancer biopsies by molecular testing with regard to the new oropharyngeal squamous cell carcinoma classification based on HPV status.

    abstract::Recently, both the World Health Organization/International Agency for Research on Cancer (WHO/IARC) and the American Joint Committee on Cancer (AJCC) have classified oropharyngeal squamous cell carcinoma (OPSCC) on the basis of HPV status. For this purpose, the WHO/IARC recommended direct molecular HPV testing. In pra...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1016/j.pathol.2019.02.002

    authors: Veyer D,Wack M,Grard O,Bonfils P,Hans S,Bélec L,Badoual C,Péré H

    更新日期:2019-06-01 00:00:00

  • Adrenocortical tumours in children and adults: a study of pathological and proliferation features.

    abstract:AIMS:To demonstrate the correlation between morphological and proliferation parameters with the biological behaviour of adrenocortical tumours (ACTs) in different age groups. METHODS:Seventy-six cases of ACT were evaluated comparing tumours of children (< or =15 years, n=24) and adults (>15 years, n=52) regarding morp...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:

    authors: Sredni ST,Alves VA,Latorre Mdo R,Zerbini MC

    更新日期:2003-04-01 00:00:00

  • Lupus anticoagulant in the elderly may be associated with both quinine and quinidine usage.

    abstract::Thirty-one patients aged over 60 yrs and with lupus anticoagulant (LA) were reviewed for their drug intake. Twenty-three (73%) were taking cinchona alkaloids, 10 (32%) quinine for night cramps, 11 (35%) quinidine for cardiac arrhythmia and 2 (6%) were taking both. These frequencies of drugs usage differed significantl...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313029500169742

    authors: Bird MR,O'Neill AI,Buchanan RR,Ibrahim KM,Des Parkin J

    更新日期:1995-04-01 00:00:00

  • Recent advances in the diagnosis of soft tissue tumours.

    abstract::Soft tissue tumours are relatively rare, but are diagnostically challenging as they comprise a large spectrum of diagnostic entities. Substantial advances have been made in recent years in identifying the underlying recurrent chromosomal and genomic alterations in a significant subset of soft tissue tumours, and this ...

    journal_title:Pathology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pathol.2017.07.007

    authors: Schaefer IM,Fletcher CDM

    更新日期:2018-01-01 00:00:00

  • Mesocolonic lymphangioma: a case report with immunoperoxidase and electron microscopic studies.

    abstract::A 14 yr old girl presented with a large cystic mass in the transverse mesocolon which was completely excised. Cystic lymphangioma was diagnosed, based on the specific histologic, immunoperoxidase and ultrastructural findings. ...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313029209063179

    authors: Yuen ST,Ng IO,Ho J,Ma L

    更新日期:1992-07-01 00:00:00

  • Detection of false-negative Papanicolaou smears by rapid rescreening in a large routine cervical cytology laboratory.

    abstract::Rapid rescreening was established in our laboratory in 1995, following the publication of several studies indicating improved sensitivity for the detection of abnormalities in cervical smears. During the study period, 285,841 negative smears (representing 89.09% of the total workload) were rapidly rescreened. A total ...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/003130299104765

    authors: Wright RG,Halford JA,Ditchmen EJ

    更新日期:1999-11-01 00:00:00

  • Lipoleiomyosarcoma of the mediastinum.

    abstract::A case is described of a mediastinal soft tissue sarcoma, in a 76-year-old man, characterized microscopically by the intimate combined features of liposarcoma and leiomyosarcoma. The lipomatous component consisted of well differentiated liposarcoma with myxoid areas. The smooth muscle component was characterized by fa...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.1080/00313029700169475

    authors: Gómez-Román JJ,Val-Bernal JF

    更新日期:1997-11-01 00:00:00

  • A study of the true competitive protein binding of current vitamin B12 radioassays.

    abstract::The use of purified intrinsic factor in vitamin B12 radioassays has greatly reduced the misdiagnosis of pernicious anaemia in recent years, but anomalies still occur. Observations made on current vitamin B12 radioassays suggest that many methods fail to convert all serum cobalamins to cyanocobalamin and thus are not t...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028209069040

    authors: Brown RD,Robin H,Kronenberg H

    更新日期:1982-01-01 00:00:00

  • Histopathology and etiology of childhood pneumonia: an autopsy study of 93 patients in Bangladesh.

    abstract::The causes and pathogenesis of severe childhood pneumonia in a developing country were studied in lungs removed at autopsy from 119 Bangladeshi children who presented with pneumonia and/or diarrhea. Pneumonia was observed in 93 patients. Morphologic features included acute alveolar exudate in 51% (of the 93 patients),...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028909059538

    authors: Tomashefski JF Jr,Butler T,Islam M

    更新日期:1989-04-01 00:00:00

  • Aeromonas septicemia: relationship of species and clinical features.

    abstract::Thirteen patients with Aeromonas species septicemia were seen at Westmead Hospital between 1983 and 1987. In 10 patients (77%) septicemia was caused by A. sobria, and in 3 (23%) by A. hydrophila, A. caviae was not isolated. Chronic underlying illness was present in 10 patients (77%), hematological malignancy being the...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028909059546

    authors: Dryden M,Munro R

    更新日期:1989-04-01 00:00:00

  • Application of an immunoradiometric assay for thyrotrophin in evaluation of thyroidal and nonthyroidal disease states.

    abstract::We evaluated an immunoradiometric assay for serum TSH (IRMA-TSH) and compared it with established indices of thyroid function in 208 patients with either frank thyroid disease, conditions of abnormal thyroxine protein binding, or conditions which are known to produce discordant thyroid results, viz. pregnancy or estro...

    journal_title:Pathology

    pub_type: 杂志文章

    doi:10.3109/00313028709066554

    authors: McLellan GH,Riley WJ,Summers MB,Sudholz P,Hickman PE

    更新日期:1987-07-01 00:00:00