1.Coronary Angiography in Isolated Hearts and Its Forensic Application
Yongbo WU ; Hengjun GUO ; Weijian CHEN ; Qijun LI
Journal of Forensic Medicine 2016;32(5):329-331,337
ObjectiveTo check the isolated heart by coronary angiography to discover the location, na-ture and degree of the coronary artery lesions more accurately and increase the comprehensive evaluation ability of cardiovascular disease.MethodsTen fresh isolated hearts with different causes of death were extracted and injected with barium sulphate as contrast substance by ring injector, then developed under Xper FD20 angiography equipment. The obtained pictures and image data were handled by three-dimen-sional angiography images with the software attached to the angiography equipment. The coronary artery tissues were HE stained and observed by microscope. The HE staining results were compared with the angiographic results.ResultsThe imaging data obtained from the 10 cases for examination showed 8 cases without coronary artery stenosis and 2 cases with Ⅲ, Ⅳcoronary artery stenosis, which were consistent with HE staining results of coronary artery organization and the both results were confirmed. ConclusionIsolated coronary angiography has an unique advantage for accurate grading of classification of coronary artery stenosis, examination of vascular malformation and tiny lesions, which can provide reference for the localization of small lesions and basis during the autopsy for identification conclusion.
2.One case report of clitoral priapism and literature review.
Hengjun XIAO ; Jihong LIU ; Shaogang WANG ; Xiaolin GUO ; Tao WANG ; Longchang FAN ; Zhangqun YE
National Journal of Andrology 2004;10(7):524-525
OBJECTIVETo investigate the clinical characteristics of female clitoral priapism.
METHODSA 29-year-old case of painful priapism of the clitoris lasting 60 hours was reported. The etiology, diagnosis and treatment of clitoral priapism were discussed and the literature reviewed.
RESULTSThe patient was cured by intracavernous administration of adrenaline.
CONCLUSIONClitoral priapism is extraordinarily rare. It is primarily due to oral antidepressant drugs or pelvic malignant neoplasm which leads to tissue infiltration of the clitoral veins and obstruction of the clitoral corporeal blood flow. The efficient therapeutic approach to clitoral priapism is intracavernous administration of alpha-agonists similar to the treatment of penile priapism.
Adult ; Clitoris ; anatomy & histology ; physiology ; Female ; Humans ; Vulvar Diseases ; etiology ; therapy