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A retrospective study of 31 sudden unexpected deaths caused by <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content> was conducted at Xi'an Jiaotong University Forensic Center from 2001 to 2012. We summarized the forensic characteristics of <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content> and assessed the clinically diagnostic accuracy of <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content>. The characteristics of sudden unexpected death due to <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content> were male predominant (male: female\u00a0=\u00a06.7:1), relatively young with the mean age of 44, and predominance of type A dissection (77.4%). Cardiac tamponade was the most frequent cause of sudden death (87.1%). Of the 31 cases, 26 (83.9%) patients were not recognized clinically and were misdiagnosed with acute myocardial infarction, coronary artery disease, cholecystitis, acute gastroenteritis, renal\/urinary lithiasis, or acute pancreatitis. In summary, <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content> can be difficult to recognize, diagnosis is therefore sometimes delayed or missed. The medicolegal death investigation can help physicians have a better understanding of <jats:styled-content style=\"fixed-case\">AAD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/1556-4029.12768","type":"journal-article","created":{"date-parts":[[2015,3,13]],"date-time":"2015-03-13T16:35:48Z","timestamp":1426264548000},"page":"1206-1211","source":"Crossref","is-referenced-by-count":21,"title":["Aortic Dissection and Sudden Unexpected Deaths: A Retrospective Study of 31 Forensic Autopsy Cases"],"prefix":"10.1111","volume":"60","author":[{"given":"Yang","family":"Li","sequence":"first","affiliation":[{"name":"School of Forensic Medicine Xi'an Jiaotong University Shaanxi 710061 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"Office of the Chief Medical Examiner 900 West Baltimore Street Baltimore MD 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