To the Editor.—
Complete and accurate information on death certificates is important for the reasons given in the SPECIAL COMMUNICATION by Kircher and Anderson.1 The example cited in case 2 deserves comment, since another scenario can be developed. Sudden death is a well-recognized event in severe aortic stenosis.2 Could it be that this complication preceded the automobile accident, so that the underlying cause of death was in fact aortic stenosis?
Kaplan S. Cause of Death. JAMA. 1987;258(22):3252. doi:10.1001/jama.1987.03400220052014