Dissecting Aneurysm of the Aorta
نویسنده
چکیده
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 feature. Dissecting aneurysm has been wrongly diagnosed ante mortem as syphilitic aortic disease on many occasions and confusion can also occurpost mortem. The importance of this differential diagnosis tends to be overlooked, especially in the standard textbooks on syphilology and cardiology, and even in recent monographs on syphilitic cardiovascular disease. If the current decline in the incidence of syphilis continues, there is likely to be a relative increase in the incidence of dissecting aneurysm-a phenomenon that has already been noted (Simpson, 1947; Newcomb, 1953). A personal, salutary experience has prompted a review of the subject from this point of view. The pathogenesis, symptomatology, and diagnosis of dissecting aneurysm are briefly described first of all (giving references for further study), three illustrative cases are reported, and the differential diagnosis from syphilis is then discussed.
منابع مشابه
Painless Dissecting Aneurysm of the Aorta.
W ITH the development of successful surgical treatment of dissecting aortic aneurysm," 2 accurate diagnosis of this condition has become increasingly important. Pain in the torso, usually in the chest or back, is considered to be a classical feature of dissecting aneurysm of the aorta, but reliance on the presence of pain may result in unnecessary delay in diagnosis and treatment. Without treat...
متن کاملPainless Dissecting Aneurysm of the Aorta
W ITH the development of successful surgical treatment of dissecting aortic aneurysm," 2 accurate diagnosis of this condition has become increasingly important. Pain in the torso, usually in the chest or back, is considered to be a classical feature of dissecting aneurysm of the aorta, but reliance on the presence of pain may result in unnecessary delay in diagnosis and treatment. Without treat...
متن کاملDissecting Aneurysm Produced by Diet 1934
Spontaneous dissecting aneurysm of the aorta in man is most commonly a sequel of hypertension but sometimes occurs in association with degenerative liquefaction of the media of the aorta. New light has been thrown upon dissecting aneurysm by its production in growing rats by a diet high in sweet peas. The offending agent has been isolated and a number of simpler related compounds have been synt...
متن کاملDissecting Aneurysm of the Aorta : Its Clinical , Electrocardiographic and Laboratory Features
The literature has been reviewed, and 58 autopsied cases of dissecting aneurysm of the aorta observed at the Los Angeles County Hospital over a ten year period have been carefully studied. Clinical-pathologic correlation has been attempted whenever possible, with emphasis on diagnostic features. The increasing incidence of accurate diagnosis of dissecting aneurysm has been noted, and it is hope...
متن کاملHealed dissecting aneurysm in cystic medial necrosis of the aorta.
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...
متن کاملDissecting Aneurysm Produced by Diet BY WILLIAM B . BEAN , M . D . AND IGNACIO
Spontaneous dissecting aneurysm of the aorta in man is most commonly a sequel of hypertension but sometimes occurs in association with degenerative liquefaction of the media of the aorta. New light has been thrown upon dissecting aneurysm by its production in growing rats by a diet high in sweet peas. The offending agent has been isolated and a number of simpler related compounds have been synt...
متن کامل