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The ruptured abdominal aortic aneurysm (RAAA) is a clinical condition of extreme gravity, cursing with quick death, often before possible medical care. The actual prevalence in the general population is difficult to measure in consequence of the low number of autopsies in these cases and the limited information on death certificates. There is a forensic interest involving sudden and unexpected death caused by RAAA, particularly in ages under 40, because a criminal autopsy can exclude possible causes of non-natural deaths. In Belo Horizonte Forensic Medical Institute there were 40 cases of fatal RAAA autopsied from 2006 to 2011. The majority of these cases were males (75%), whites (45%), aged with more than 60 years (70%). Most of them presented with cardiac morphological changes (60%) and with signs of pulmonary edema (56.8%). Most cases received medical care prior to death (62.5%). In this sample, only four individuals (10%) were younger than 40 years.

Óbitos Decorrentes de Ruptura de Aneurisma de Aorta Abdominal no Instituto Médico Legal de Belo Horizonte, 2006–2011