Healed Dissecting Aneurysm of the Aorta Er - roneously Diagnosed
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چکیده
T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aorta exhibited a healed medial dissection with complete absence of an intimal tear.
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Healed Dissecting Aneurysm of the Aorta Er -
T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aor...
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DISSECTING aneurysm of the aorta has long been recognized as a disease entity, and is ordinarily regarded as a rapidly fatal condition. A certain proportion of dissecting aneurysms redissect into the lumen of the aorta, forming the so-called "double-barreled" aorta. Occasional cases of dissecting aneurysm have survived for a considerable period after the acute episode, many of them being of the...
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T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aor...
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Dissecting aneurysm of the aorta has been known as a pathological entity for over a century (Maunoir, 1802); it was first diagnosed during life by Swaine (1856), and a full account of its clinical and pathological features was given by Peacock in 1863. Even so, until recently only thirteen accurate ante-mortem diagnoses had been reported (Glendy et al., 1937). Failure to diagnose the condition ...
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Up to 1934 only six of the 300 cases of dissecting aneurysm of the aorta described in the literature had been diagnosed ante mortem (Shennan, 1934). Many correctly diagnosed cases have since been reported (with decreasing pride) and the condition is now well enough recognized in general medical practice for cases to be reported only when they present some unusual or particularly instructive fea...
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