Autopsy Surprise: Boomerang Find in Man’s Heart

The rare “os cordis” might develop as a reaction to heart problems, according to the case study.(Image credit: SCIEPRO/SCIENCE PHOTO LIBRARY viaGetty Images)

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The departed: A 39-year-old male in the United States

The post-mortem examination findings: Medical professionals assessed the man following a fatal altercation, where a stab wound had perforated a vessel inside his lungs. They observed that the individual’s heart was somewhat enlarged and that he exhibited moderate atherosclerotic coronary artery disease (CAD) within a pair of vessels. CAD arises from the accumulation of plaque along the arterial walls leading to the heart.

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They recognized this structure as the os cordis — a “cardiac bone” infrequently, if ever, spotted in humans.

What renders the case exceptional: The os cordis has historically been detected in nonhuman mammals, notably ruminants like cattle and camels. Within animals, it is thought to bolster the cardiac valves responsible for governing the circulation of blood inside the heart.

The formation had only recently been documented among primates, in a study issued during 2020, a mere five years prior to the described case study. In that 2020 report, researchers examined 16 hearts from chimpanzees and determined that three contained an os cordis. These three chimps equally displayed scarring of the heart tissue, which led the scientists to propose that the growth of the osseous structure might have been connected to such damage within the tissues.

Also in 2020, a corresponding structure was characterized in seven humans by Dr. Jorge Trainini, a cardiac specialist and educator at the National University of Avellaneda situated in Argentina. He along with his collaborators designated their discovery the “cardiac fulcrum,” underscoring its intended function when it comes to the stabilization of the heart muscles as they contract facing the pressure exerted by gravity.

They stated that, unlike the os cordis they observed within cow hearts, the adult human fulcrum consisted of cartilage and tendon, instead of bone. Nevertheless, within the team’s specific investigation, they discovered that a heart deriving from a 10-year-old did in fact possess bone tissue, additionally they suggested that the formation might relinquish its osseous characteristic as time passes. (The 10-year-old was diagnosed with cardiomyopathy, in other words an ailment affecting the heart muscle, and had undergone a heart transplant. The osseous tissue had been detected within the explanted heart.)

Trainini revealed to Live Science through an interview that the os cordis and also the cardiac fulcrum are synonymous structures. However, the authors of the case report were not in agreement. They noted Trainini’s prior discoveries; however, they insisted that the construction that they located inside the 39-year-old male was distinct since it was composed of bone.

OTHER DILEMMAS

—A knife snapped off in a man’s chest, and he remained unaware for a duration of 8 years

—A man’s penis was transforming into bone

—A rare genetic disorder caused a woman’s heart to turn black

Nonetheless, the authors of the case report arrive at a parallel conclusion to Trainini, stating that such a formation might be more commonplace among humans than is presently acknowledged. They proposed that, on account of their having discovered the os cordis throughout a dissection of the heart tissue that was unusual for an autopsy, the trait may characteristically proceed without recognition.

Tranini proceeded as far as to contend that all humans plausibly possess a cardiac fulcrum depending on his consequent analyses of close to 100 human hearts.

Although the authors of the case report remained ignorant of the man’s comprehensive medical background, they observed that the emergence of an os cordis could quite possibly be linked to his apparent cardiac ailment. It is recognized that aging and illness could also sway this formation within other animals, they incorporated.

For more appealing medical cases, peruse our Diagnostic Dilemma collection.

TOPICSDiagnostic dilemma

Lauren SchneiderLive Science Contributor

Lauren Schneider serves as a health and science journalist currently undergoing a master’s degree from the Science, Health and Environmental Reporting Program located at New York University. Prior to transitioning into a writer, she received a bachelor’s degree in neuroscience originating from The University of Texas at Austin.  During her free moments, you can encounter Lauren viewing films, swimming laps, revising Wikipedia, or allocating time to Lucy, her unbelievably lovely black feline.

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