Yılmaz, Eyyüp Directorship of Forensic, Medicine Branch, Türkiye , Ersoy, Gökhan Istanbul University - Institute of Forensic Medicine, Türkiye , Gürpınar, S.Serhat Directorship of Forensic, Medicine Branch, Türkiye , Tavşanoğlu, Sedat Istanbul University - Cerrahpaşa Medical Faculty - Department of Cardiology, Türkiye

Ostium secundum atrial septal defect-related post-partum death of an adult: An autopsy case

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Atrial Septal Defect (ASD) is the most common type of congenital heart disease in adolescents and adults with a frequency of 10-15 %. Ostium secundum type ASD has a multifactorial heredity pattern and is almost always sporadic. Herein, we presented a maternal mortality case of ASD that died after nine days after delivery. She applied to the hospital three times with non-specific symptoms but died without an accurate diagnosis. At autopsy, there was evidence of episiotomy in recent delivery in genital region. The weight of the heart was 380 grams, hypertrophy of papillary muscles and an ostium secundum type ASD with 1,6 x 1,1 cm dimensions were detected. Microscopic examination of heart sections revealed hypertrophy, hyperemia, and focal, minimal colliquative myocytolysis. Electrocardiogram findings and autopsy findings were evaluated together and in conclusion, our opinion on the cause of death was circulatory disturbance resulting from chronic heart disease. Because of this, congenital heart disease which is a rare pathology and a cause of death in adult population, we presented the findings of this case.

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Congenital heart disease , atrial septal defect , ostium secundum , maternal mortality , autopsy.

Dicle Medical Journal

433