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The autopsy findings and the inspection of the scene revealed that the fatal aortic injury had been caused by direct force from the front, which subsequently caused a powerful anteroposterior chest compression, resulting in an incomplete tear by flexion and compression of the aortic arch. The aortic dissection propagated in both an ante\u2010 and retrograde direction, with intact adventitia. However, due to a rise in pressure in the formed false lumen, dissection propagated downward to the base of the heart, and further into the subepicardial adipose tissue, forming a subepicardial hematoma. This hematoma gradually compressed the proximal sections of the coronary arteries, impairing their filling, and producing a myocardial ischemia. In addition, circulation had probably been already disturbed by the right\u2010sided pneumothorax, as well as a possible pneumomediastinum.<\/jats:p>","DOI":"10.1111\/1556-4029.12152","type":"journal-article","created":{"date-parts":[[2013,5,17]],"date-time":"2013-05-17T20:37:21Z","timestamp":1368823041000},"page":"1065-1068","source":"Crossref","is-referenced-by-count":6,"title":["An Uncommon Accident and Unusual Cause of Death\u2014A Fatal Domestic Ram Attack"],"prefix":"10.1111","volume":"58","author":[{"given":"Vladimir","family":"\u017divkovi\u0107","sequence":"first","affiliation":[{"name":"Institute of Forensic Medicine University of Belgrade \u2010 School of Medicine 31a Deligradska str. Belgrade 11000 Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slobodan","family":"Nikoli\u0107","sequence":"additional","affiliation":[{"name":"Institute of Forensic Medicine University of Belgrade \u2010 School of Medicine 31a Deligradska str. 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