A 38-year-old woman with idiopathic scoliosis (right convex thoracic scoliosis, 78°; left convex lumbar curvature, 75°) died suddenly. Forensic autopsy and histopathologic examination revealed chronic congestive oedema, numerous cavities and atrophic changes of heart.
These changes, including both respiratory changes and biventricular failure caused by hypoplastic cardiac changes, were due to a deformed thoracic cage. This case illustrates that not only abnormalities of respiratory function and cor pulmonare, but also hypoplastic cardiac changes, may cause sudden death in a patient with untreated scoliosis.
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References
1.
CobbJ. R. (1960) The problem of the primary curve. J. Bone Joint Surg. Am. 42-A, 1713–25
2.
DaviesG.ReidL. (1971) Effect of scoliosis on growth of alveoli and pulmonary arteries and on right ventricle. Arch. Dis. Child46, 623–32
3.
FreyschussU.NilsonneU.LundgrenK. D. (1968) Idiopathic scoliosis in old age. I. Respiratory function. ActaMed. Scand. 184, 365–72
4.
GagnonS.JodoinA.MartinR. (1989) Pulmonary function test study and after spinal fusion in young idiopathic scoliosis. Spine14, 486–90
5.
KaferE. R. (1980) Respiratory and cardiovascular functions in scoliosis and the principles of anesthetic management. Anesthesiology52, 339–51
6.
NachemsonA. (1968) A long-term follow-up study of non-treated scoliosis. Acta Orthop Scand39, 466–76
7.
NilsonneU.LundgrenK. D. (1968) Long-term prognosis in idiopathic scoliosis. Acta Orthop Scand39, 456–65
8.
ShannonD. C.RisebiroughF. J.KazemiH. (1971) Ventilation perfusion relationship following correction of kyphoscoliosis. JAMA247, 579–84
9.
SwankS. M.WinterR. B.MoeJ. H. (1982) Scoliosis and cor pulmonale. Spine7, 343–54
10.
VallbonaC.HarringtonP. R.HarrisonE. M.FriereR. M.ReesaW. O. (1969) Pitfalls in the interpretation of pulmonary function studies in scoliotic patients. Arch. Phys. Med. Rehabil. 50, 68
