Patent ductus arteriosus as rare cause of sudden death. Case report of a 4-day-old infant

Madea, B.; Schyma, Christian; Albalooshi, Y.; Doberentz, E. (2015). Patent ductus arteriosus as rare cause of sudden death. Case report of a 4-day-old infant. Rechtsmedizin, 25(3), pp. 232-236. Springer-Medizin-Verlag 10.1007/s00194-015-0005-x

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A persistent patent ductus arteriosus as a cause of sudden and unexpected death in neonates and of pulmonary hemorrhage has been known for many years. Especially preterm neonates have an increased risk of developing a patent ductus arteriosus. The case of a 4-day-old neonate is presented who was born 2 weeks preterm and died suddenly. At autopsy a very muscular arterial vascular bypass was visible between the pulmonary artery and the aortic arch with a diameter nearly equal to the pulmonary artery. As a result of pulmonary hyperperfusion there was massive pulmonary congestion and congestive heart failure as a result of shunting from the systemic to the pulmonary circulation.

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