DISSECTING ANEURYSM OF THE AORTA IN YOUNG INDIVIDUALS, PARTICULARLY IN ASSOCIATION WITH PREGNANCY. WITH REPORT OF A CASE
Authors: Maurice A. Schnitker, Charles A. Bayer
Journal: Annals of Internal Medicine (1944)

Article1 March 1944DISSECTING ANEURYSM OF THE AORTA IN YOUNG INDIVIDUALS, PARTICULARLY IN ASSOCIATION WITH PREGNANCY. WITH REPORT OF A CASEMAURICE A. SCHNITKER, F.A.C.P., CHARLES A. BAYER, M.D.MAURICE A. SCHNITKER, F.A.C.P.Search for more papers by this author, CHARLES A. BAYER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-20-3-486 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptUntil attention was called to it1, 2 coronary occlusion below the age of 40 was considered rather unusual.Similarly, in the past dissecting aneurysm of the aorta has been held to occur almost exclusively in older individuals particularly in the presence of hypertension. The authors' interest in the occurrence of dissecting aneurysms in young individuals was stimulated by the following case which occurred in a woman of 22, 12 days post partum. Because of this case it became of interest to find out just how common or uncommon dissecting aneurysm of the aorta is in young individuals, and a study...Bibliography SOURCES OF CASES UNDER AGE FORTY1. WHITE PD: Coronary disease and coronary thrombosis in youth; an analysis of 4 cases under the age of 30 years, 21 cases under the age of 40 years, and 138 cases under the age of 50 years, Jr. Med. Soc. New Jersey, 1935, xxxii, 596. Google Scholar2. GLENDYLEVINEWHITE RESAPD: Coronary disease in youth. Comparison of 100 patients under 40 with 300 persons past 80, Jr. Am. Med. Assoc., 1937, cix, 1775. CrossrefGoogle Scholar3. RESNIKKEEFER WHCS: Dissecting aneurysm with signs of aortic insufficiency, Jr. Am. Med. Assoc., 1925, lxxxv, 422. CrossrefGoogle Scholar4. HAMMANAPPERLY LFL: An instance of spontaneous rupture of the aorta with aortic insufficiency, Internat. Clin., 1933, iv, 251. Google Scholar5. WEISS S: The clinical course of spontaneous dissecting aneurysm of the aorta, Med. Clin. N. Am., 1935, xviii, 1117. Google Scholar6. SHENNAN T: Dissecting aneurysms, Special Report Series No. 193, Med. Res. Council, 1933, His Majesty's Stationery Office, London. Google Scholar7. MCGEACHYPAULLIN TEJE: Dissecting aneurysm of the aorta, Jr. Am. Med. Assoc., 1937, cviii, 1690. CrossrefGoogle Scholar8. HOLLANDBAYLEY LFRH: Dissecting aneurysm. A report of nineteen cases, with a review of the recent American literature, Am. Heart Jr., 1940, xx, 222. Google Scholar9. KLOTZSIMPSON OW: Spontaneous rupture of the aorta, Am. Jr. Med. Sci., 1932, clxxxiv, 455. CrossrefGoogle Scholar10. BRONSONSUTHERLAND EGA: Ruptured aortic aneurysms in childhood, Prit. Jr. Child. Dis., 1918, xv, 241. Google Scholar11. VON ROKITANSKY C: Med. Jahr. der K. K. Oesterr. Staates, 1838, xvi, 24. Google Scholar12. OPPENHEIMER R: Virchow's Arch. f. path. Anat., 1905, clxxxi, 382. CrossrefGoogle Scholar13. WASASTJERNA E: Ztschr. f. klin. Med., 1903, xlix, 405. Google Scholar14. MOTECARR CDJL: Dissecting aneurysm of the aorta, Am. Heart Jr., 1942, xxiv, 69. CrossrefGoogle Scholar15. WEISS S: Personal Communication. Google Scholar16. ABBOTT ME: Coarctation of the aorta of the adult type, Am. Heart Jr., 1928, iii, 381, 574. CrossrefGoogle Scholar17. SHATTENBERGZISKIND HJJ: Dissecting aneurysms of the aorta, Jr. Lab. and Clin. Med., 1938, xxiv, 264. Google Scholar18. STEWARTBELLET HLS: Coarctation of the aorta; report of case in which sudden death was due to rupture of aorta, Am. Heart Jr., 1934, ix, 533. CrossrefGoogle Scholar19. PFEIL K: Zur Entstehung der Spontanrupturen der Aorta, Ztschr. f. Kreislaufforsch., 1935, xxvii, 410. Google Scholar20. VON SCHNURBEIN F: Ueber Aortenruptur und Aneurysma dissecans, Frankfurt. Ztschr. f. Path., 1926, xxxiv, 532. Google Scholar21. MORITZ AR: Medionecrosis aortae idiopathica cystica, Am. Jr. Path., 1932, viii, 717. Google Scholar22. LEARYWEISS TS: Dissecting aneurysm of the aorta in experimental atherosclerosis, Arch. Path., 1940, xxix, 665. Google Scholar23. SAILER S: Dissecting aneurysm of the aorta, Arch. Path., 1942, xxxiii, 704. Google Scholar24. TYSON MD: Dissecting aneurysms, Am. Jr. Path., 1931, vii, 581. Google Scholar25. BABESMIRONESCU VT: Ueber dissezierende Arteriitis und Aneurysma dissecans, Beitr. z. path. Anat. u. z. allg. Path., 1910, xlviii, 221. Google Scholar26. WHITMANSTEIN RGHB: A contribution to the genesis of dissecting aneurysms; a case of dissecting mesaortitis (Babes and Mironescu) without dissecting aneurysm, Jr. Med. Research, 1924, xliv, 579. Google Scholar27. KRUKENBERG E: Beiträge zur Frage des Aneurysma dissecans, Beitr. z. path. Anat. u. z. allg. Path., 1920, lvii, 329. Google Scholar28. HAMBURGERFERRIS MEB: Dissecting aneurysm; a study of six recent cases, Am. Heart Jr., 1938, xvi, 1. CrossrefGoogle Scholar29. REISINGER JA: Dissecting aneurysm of the aorta, Arch. Int. Med., 1940, lxv, 1097. CrossrefGoogle Scholar30. HORNFINKELSTEIN HLF: Arteriosclerosis of the coronary arteries and the mechanism of their occlusion, Am. Heart Jr., 1940, xix, 655. CrossrefGoogle Scholar31. WIRTH WR: In discussion: HARGROVE, M. D.: Dissecting aneurysms, New Orleans Med. and Surg. Jr., 1939, xci, 678. Google Scholar32. ROTTINO A: (a) Medial degeneration of the aorta as seen in twelve cases of dissecting aneurysm, Arch. Path., 1939, xxviii, 1. (b) Medial degeneration of the aorta; a study of 210 routine autopsy specimens by a serial block method, Arch. Path., 1939, xxviii, 377. (c) Medial degeneration, cystic variety, in unruptured aortas, Am. Heart Jr., 1940, xix, 330. Google Scholar33. GOULEYANDERSON BAE: Chronic dissecting aneurysm of the aorta simulating syphilitic cardiovascular disease; notes on the associated aortic murmurs, ANN. INT. MED., 1940, xiv, 978. Google Scholar34. LEVINE SA: Clinical heart disease, 1940, W. B. Saunders Co., Philadelphia, p. 141. Google Scholar35. UEBERMUTH H: Schwangershaft und Aortenruptur, Zentralbl. f. Gynaek., 1933, lvii, 1633. Google Scholar36. GOBEL A: Spontanruptur der Aorta bei einer Schwangeren im 8 Monat auf dem Boden degenerativer Mediaveränderungen der Aorta ascendens, Zentralbl. f. Gynaek., 1936, lx, 38. Google Scholar37. HEINRICUS G: Zentralbl. f. Gynaek., 1883, vii, 1. Google Scholar38. WOLFF K: Ueber die Ursachen der sogenannten spontanen Aortenzerreissungen, Virchow's Arch. f. path. Anat. u. Physiol., 1933, cclxxxix, 1. Google Scholar39. VON RECKLINGHAUSEN C: Virchow's Arch. f. path. Anat. u. Physiol., 1864, xxx, 361, Schmidt's Jahrbuch, 1865, cxxv, 261. Google Scholar40. BURWELLSTRAYHORNFLICKINGERCORLETTEBOWERMANKENNEDY CSWDDMBEPJA: Circulation during pregnancy, Arch. Int. Med., 1938, lxii, 979. CrossrefGoogle Scholar41. THOMPSONREIDCOHEN KJDEME: Studies on the circulation in pregnancy, Am. Jr. Med. Sci., 1939, cxcviii, 665. Google Scholar42. KATZ H: Sudden natural death in pregnancy and childbirth, Arch. f. Gynaek., 1921, cxv, 283. CrossrefGoogle Scholar43. SCHNITKERVAN RAALTECUTLER MTLHEC: The effect of total thyroidectomy in man, Arch. Int. Med., 1936, lvii, 857. CrossrefGoogle Scholar44. KOUNTZHEMPELMANN WBLH: Chromatrophic degeneration and rupture of the aorta following thyroidectomy in cases of hypertension, Am. Heart Jr., 1940, xx, 599. CrossrefGoogle Scholar45. KOUNTZ WB: In discussion: MOTE, C. D., CARR, J. L.: Dissecting aneurysm of the aorta, Am. Heart Jr., 1942, xxiv, 69. Google Scholar46. FOURNIER JC Quoted by: : The circulatory apparatus in myxedema, Proc. Staff Meet. Mayo Clin., 1942, xvii, 212. Google Scholar47. CARR JL: Personal Communication. Google Scholar48. GLENDYCASTLEMANWHITE REBPD: Dissecting aneurysm of the aorta. A clinical and anatomical analysis of 19 cases (13 acute) with notes on the differential diagnosis, Am. Heart Jr., 1937, xiii, 129. CrossrefGoogle Scholar49. HALL EM: Healed dissecting aneurysm of aorta; patent ductus arteriosus and enormous hypertrophy of heart, Arch. Path., 1926, ii, 41. Google Scholar50. BAY H: Zur Lehre der spontanen Aortenruptur, 1910, J. F. Bergmann, Wiesbaden, Frankfurt. Ztschr. f. Path., 1911, vi, 70. Google Scholar51. CHAPMANDILLGRAYBIEL EMDBA: The decrease in functional capacity of the lungs and heart resulting from deformities of the chest. Pulmonocardiac failure, Medicine, 1939, xviii, 167. CrossrefGoogle Scholar52. BOSTROM E: Deutsch. Arch. f. klin. Med., 1888, xlii, 17. Google Scholar53. LEJONNE M: Etude de la douleur et de quelques autres symptomes des aneurysmes de l'aorte thoracique ascendante, Bull. Soc. anat. de Paris, 1900, 187. Google Scholar1. SHENNAN T: (one case). Med. Res. Council Rep., 1933. Google Scholar2. HOLMES WA: (one case). Lancet, 1886, ii, 814. CrossrefGoogle Scholar3. OTTO : (one case). Neue seltene Beobachtungen z. Anat., Physiol. u. Path. gehörig., Berlin, 1824. Google Scholar4. SMITH RW: (one case). Dublin Jr. Med. Sci., 1836, ix, 426. Google Scholar5. ALLEN : (one case) Aust. Med. Jr., n. s., 1879, i, 334. Google Scholar6. BESDZIEK : (one case). Inaug. Dissert., Breslau, 1895. Google Scholar7. BRISTOWE : (one case). Trans. Path. Soc., London, 1863, xiv, 86. Google Scholar8. BRUBERGER : (one case). Berl. klin. Wchnschr., 1870, vii, 360. Google Scholar9. BRUNK : (one case). Aerztl. Sachverst. Ztg., 1905, p. 105. Google Scholar10. DICKINSON : (one case). Trans. Path. Soc., London, 1861-1862, xiii, 48. Google Scholar11. ELLIOTSON J: (one case, pregnant). Lancet, 1832-33, i, 129; also, Pract. Med., 1846, p. 994. CrossrefGoogle Scholar12. FISCHER G: (one case). Inaug. Dissert., Wurzburg, 1872. Google Scholar13. FLOCKMANN : (two cases). München. med. Wchnschr., 1898, xlv, 847. Google Scholar14. GARCIN : (one case). Aerztl. Sachverst. Ztg., 1900, xvi, 317. Google Scholar15. GEISSLER : (one case). Schmidt's Jahrb., 1865, cxxv, 261. Google Scholar16. HUEBSCHMANN : (one case). München. med. Wchnschr., 1916, i, 394. Google Scholar17. ISAACS : (one case). New York Med. Jr., 1859, vii, 193. Google Scholar18. JORDAN : (one case). New England Med.-Surg. Jr., 1830-1831, i, 101. Google Scholar19. KRUKENBERG E: (one case). Beitr. z. path. Anat. u. z. allg. Path., 1920, lxvii, 329. Google Scholar20. LEJONNEMILANOFF : (one case). Bull. Soc. anat. de Paris, 1900, p. 187. Google Scholar21. LOBSTEIN : (one case). Rap. Anat. de Strasbourg, 1805, p. 58. Google Scholar22. LORRAINCESBRON : (one case). Bull. Soc. anat. de Paris, 1904, p. 818. Google Scholar23. MORGAGNI : (two cases). De sedeb. caus. morb., 1760, xxvi, art. 21. Google Scholar24. Museum Roy. Coll. Surg., England: (one case). Case number 5505. Google Scholar25. OPPENHEIM F: (one case). München. med. Wchnschr., 1918, p. 1234. Google Scholar26. RANKING : (one case). Brit. Med. Jr., 1860, ii, 665. Google Scholar27. ROKITANSKY : (one case). Kkht d. Art. Wien., 1852. Google Scholar28. STATHAM HW: (one case, pregnant). Lond. Med. Gaz., 1835, xvi, 142. Google Scholar29. TODD RB: (one case). Med. Chir. Trans., London, 1844, xxvii, 301. CrossrefGoogle Scholar30. WASASTJERNA E: (one case) Ztschr. f. klin. Med., 1903, xlix, 405. Google Scholar31. WEYRAUCH W: (one case). Deutsch. Arch. f. klin. Med., 1907, xci, 603. Google Scholar32. ASAHI K: (one case). Ztschr. f. Heilk., 1905, xxvi, 163. Google Scholar33. CADET-GASSICOURT : (one case). Bull. Soc. anat. de Paris, 1885, p. 352. Google Scholar34. BOSTROM E: (one case, pregnant). Deutsch. Arch. f. klin. Med., 1888, xlii, 17. Google Scholar35. BOUILLARD : (one case). Arch. gen. Med., 1847, xv, 248. Google Scholar36. DUROZIEZ P: (one case), l'union Med., 1876, xxii, 88. Google Scholar37. HALL EM: (one case). Arch. Path., 1926, ii, 41. Google Scholar38. LUTTICH B: (one case). Virchow's Arch. f. path. Anat., 1885, c, 180. CrossrefGoogle Scholar39. MACCALLUM WG: (one case). Bull. Johns Hopkins Hosp., 1909, xx, 9. Google Scholar40. PATRICKTAYLOR CVJF: (one case). Lancet, 1929, i, 181. CrossrefGoogle Scholar41. SALTER H: (one case). Brit. Med. Jr., 1870, ii, 697. CrossrefGoogle Scholar42. VON SCHNURBEIN F: (one case). Frankfurt. Ztschr. f. Path., 1926, xxxiv, 523. Google Scholar43. SCHRODER VAN DER KALK : (one case). Vrolik's Embryogene sin et al, 1849. Google Scholar44. WHIPHAM T: (one case). Trans. Path. Soc., London, 1871, xxii, 113. Google Scholar45. KLOTZSIMPSON OW: (three cases, two pregnant). Am. Jr. Med. Sci., 1932, clxxxiv, 455. CrossrefGoogle Scholar46. HARGROVE M: (two cases). New Orleans Med. and Surg. Jr., 1939, xci, 678. Google Scholar47. REISINGER JA: (one case). Arch. Int Med., 1940, lxv, 1097. CrossrefGoogle Scholar48. GOULEYANDERSON BAE: (one case). ANN. INT. MED., 1940, xiv, 978. Google Scholar49. HOLLANDBAYLEY LFRF: (four cases). Am. Heart Jr., 1940, xx, 222. Google Scholar50. MCGEACHYPAULLIN TEJE: (three cases, one pregnant). Jr. Am. Med. Assoc., 1937, cviii, 1690. CrossrefGoogle Scholar51. PEERY TM: (one case). Am. Heart Jr., 1936, xii, 650. CrossrefGoogle Scholar52. GLENDYCASTLEMANWHITE REBPD: (one case). Am. Heart Jr., 1937, xiii, 129. CrossrefGoogle Scholar53. REGESTERINNIS RPMB: (one case). Am. Heart Jr., 1938, xv, 365. CrossrefGoogle Scholar54. MOTECARR CDJL: (one case, pregnant). Am. Heart Jr., 1942, xxiv, 69. CrossrefGoogle Scholar55. ROBERTS JT: (one case). Am. Heart Jr., 1939, xviii, 188. CrossrefGoogle Scholar56. MILEW L: (one case, pregnant). Zentralbl. f. Gynaek., 1936, lx, 2912. Google Scholar57. GOBEL A: (one case, pregnant). Zentralbl. f. Gynaek., 1936, lx, 38; also, WIGAND, H.: Ztschr. f. Kreislaufforsch., 1941, xxxiii, 1. Google Scholar58. SCHATTENBERGZISKIND HJJ: (one case). Jr. Lab. and Clin. Med., 1938, xxiv, 264. Google Scholar59. GARDNERGALBRAITHHARDWICK EAJSW: (one case). Lancet, 1939, ii, 1019. CrossrefGoogle Scholar60. CRANE MP: (one case). Med. Papers, Henry A. Christian, 1936, p. 142. Google Scholar61. HARDAWAYGREEN RMMM: (one case). Am. Heart Jr., 1935, x, 384. CrossrefGoogle Scholar62. STEWARTBELLET HLS: (one case). Am. Heart Jr., 1934, ix, 533. CrossrefGoogle Scholar63. NARRWELLS FCAH: (one case). Am. Heart Jr., 1933, viii, 834. CrossrefGoogle Scholar64. KOUNTZHEMPELMANN WBLH: (three cases). Am. Heart Jr., 1940, xx, 599. CrossrefGoogle Scholar65. NORRIS JC: (one case, pregnant). South. Med. Jr., 1934, xxvii, 733. CrossrefGoogle Scholar66. HARDENBERG GV: (two cases). Zentralbl. f. Chir., 1938, lxv, 1766. Google Scholar67. HELLNER F: (one case, pregnant). Zentralbl. f. Gynaek., 1936, lx, 2723. Google Scholar68. EINHAUSER M: (one case). Ztschr. f. Kreislaufforsch., 1935, xxvii, 619. Google Scholar69. PFEIL K: (one case). Ztschr. f. Kreislaufforsch., 1935, xxvii, 410. Google Scholar70. VON ESKELUND : (two cases). Ugesk. f. laeger, 1936, xcviii, 140. Ugesk. f. laeger, 1941, ciii, 240. Google Scholar71. PILCHER JF: (one case). Texas State Jr. Med., 1937, xxxiii, 373. Google Scholar72. VON MEYENBERG H: (one case). Schweiz. med. Wchnschr., 1939, lxix, 976. Google Scholar73. HARSTAD K: (one case). Norsk mag. f. laegevidenski, 1938, xcix, 1311. Google Scholar74. PENTZ JL: (one case). Nederl. Tijdschr. v. geneesk., 1936, lxxx, 1740. Google Scholar75. KIENBOCK R: (one case). Fortschr. a. d. Geb. d. Röntgenstrahlen, 1939, lix, 494. Google Scholar76. PANNHORST R: (one case). Deutsch. Arch. f. klin. Med., 1933, clxxv, 115. Google Scholar77. ROSOVE L: (one case). California and West. Med., 1934, xl, 249. Google Scholar78. BLOCK W: (one case). Arch. f. klin. Chir., 1937, cxxcviii, 480. Google Scholar79. HULTINWALINDER EB: (one case) Acta med. Scandinav., 1938, xciv, 328. Google Scholar80. PALIARDPLAUCHU FM: (one case). Lyon méd., 1938, clxii, 641. Google Scholar81. WOLFF K: (one case, pregnant). Virchow's Arch. f. path. Anat., 1933, cclxxxix, 1. CrossrefGoogle Scholar82. UEBERMUTH H: (one case, pregnant). Zentralbl. f. Gynaek., 1933, lvii, 1633. Google Scholar83. HEINRICUS G: (one case, pregnant). Zentralbl. f. Gynaek., 1883, vii, 1. Google Scholar84. KOSONINSKI : (one case, pregnant). Med. Geburt, 1896, iv, 610. Google Scholar85. WEISSWANGER : (one case, pregnant). Zentralbl. f. Gynaek., 1903, xxvii, 288. Google Scholar86. SEBOLD : (one case, pregnant). Inaug. Dissert. Heidelburg, 1916. Google Scholar87. KATZ H: (one case, pregnant). Arch. f. Gynaek., 1922, cxv, 283. Google Scholar88. GUTNER : (one case, pregnant). Berl. Gynaek., xii, 592. Google Scholar89. BOHNEN P: (one case, pregnant). Zentralbl. f. Gynaek., 1927, li, 2398. Google Scholar90. BALTHAGARDDESVILLE VH: (one case). Ann. de méd. lég., 1936, xvi, 277. Google Scholar91. SAUCHEZ-LUCAS JG: (one case). Arch. Card. et Hemat., 1933, xiv, 213. Google Scholar92. LUND H: (one case). Arch. Path., 1933, xv, 162. Google Scholar93. GAGER LT: (two cases). ANN. INT. MED., 1929, ii, 658. Google Scholar94. ROKITANSKY C: (one case). Med. Jahrb. der Oesterr. Staates, 1838, xvi, 24. Google Scholar95. OPPENHEIMER R: (one case). Virchow's Arch. f. path. Anat., 1905, clxxxi, 382. CrossrefGoogle Scholar96. WISE TA: (one case). Trans. Med. and Phys. Soc., Calcutta, 1842, viii, 384. Google Scholar97. WEST : (one case). Trans. Coll. Phys., 1848, ii, 194. Google Scholar98. BARKER JA: (one case). Med. Chir. Trans., 1860, xliii, 131 (see also ref. No. 109). CrossrefGoogle Scholar99. DEGEN : (one case). Vrtljschr. f. d. prakt. Heil., 1871, cxii, 31. Also Berl. klin. Wchnschr., 1870. (see also ref. No. 109). Google Scholar100. FORSTER : (one case). Lehr d. path. Anat., 1873, p. 369 (see also ref. No. 109). Google Scholar101. HORNUNG J: (one case). Wien. med. Wchnschr., 1878, xvi, 369 (see also ref. No. 109). Google Scholar102. LUTTICH : (one case). Arch. d. Heilk., 1876, xvii, 70 (see also ref. No. 109). Google Scholar103. LEGG JW: (one case). Trans. Path. Soc. London, 1878, xxix, 65 (see also ref. No. 109). Google Scholar104. WADSTEIN E: (one case). Lund Thesis, 1897 (see also ref. No. 109). Google Scholar105. BUMKE O: (one case). Inaug. Dissert., Kiel, 1901. Google Scholar106. HORDER TJ: (one case). St. Barth. Hosp. Rep., 1907, xliii, 57. Google Scholar107. TREVOR : (one case). Allbutt and Rolleston Syst. Med., 1909, vi, 287. Google Scholar108. OBERNDORFER : (one case). Verhandl. d. deutsch. path. Gesellsch., 1910, xiv, 345 (see also ref. No. 109). Google Scholar109. SELLA H: (one case). Beitr. z. path. Anat. u. z. allg. Path., 1910, xlix, 501. Google Scholar110. FRAENCKEL P: (two cases). Vrtljschr. f. gerichtl. Med., 1912, xliii, 324. Google Scholar111. STAAUNG : (one case). Berl. klin. Wchnschr., 1913, l, 469. Google Scholar112. KOLISKO A: (one case). Dittrich's Handb. d. Aerzt Sach., 1913, ii, 701. Google Scholar113. BRONSONSUTHERLAND EGA: (one case). Brit. Jr. Child. Dis., 1918, xv, 241. Google Scholar114. BINDER A: (one case). Med. Klin., 1919, xv, 1091. Google Scholar115. KATZ H: (one case, pregnant). Arch. f. Gynaek., 1921, cxv, 291. Google Scholar116. GOLDBLATT H: (one case). Bull. Int. Assoc. Med. Mus., 1922, viii, 184. Google Scholar117. STRASSMAN G: (three cases). Beitr. z. gerichtl. Med., 1922, v, 95. Google Scholar118. MEIXNER K: (one case). Beitr. z. gerichtl. Med., 1922, v, 72. Google Scholar119. NIEUWEJAAR L: (one case). Med. Rev., 1925, xlii, 579. Google Scholar120. GEIGEL : (one case). Wurzb. Med. Ztschr. II, 1861; II: 107. Also, Schmidt's Jahrb. 1865, cxxv, 261. Google Scholar121. BERKHAN : (one case, pregnant). Wien. med. Wchnbl., 1864, xx, 21. Also, Schmidt's Jahrb., 1865, cxxv, 261. Google Scholar122. VON RECKLINGHAUSEN : (one case, pregnant). Virchow's Arch. f. path. Anat., 1864, xxx, 361. Also Schmidt's Jahrb., 1865, cxxv, 261. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MAURICE A. SCHNITKER, F.A.C.P.; CHARLES A. BAYER, M.D.Affiliations: Toledo, Ohio*Received for publication February 17, 1943.†This paper was completed before the author entered active military service. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAortic dissection during pregnancy and postpartum in patients with Marfan syndrome: a 21-year clinical experience in 30 patientsPreconception Counseling for Patients With Thoracic Aortic AneurysmsAcute Type A Aortic Dissection and Successful Surgical Repair in a Woman at 21 Weeks Gestational Pregnancy With Maternal and Fetal Survival: A Case ReportPregnancy-related acute aortic dissection in Marfan syndrome: A review of the literatureAortic Dissection in Pregnancy: Management Strategy and OutcomesAortopathyDissecting the Dilemma: Uncontrolled Hypertension in a Pregnant PatientAortopathy in pregnancyMarfan syndrome and pregnancy: maternal and neonatal outcomesDeBakey Type II Aortic Dissection: A Rare Catastrophic Complication of PregnancySpontaneous coronary artery dissection causing acute coronary syndrome in a young patient without risk factorsSpontaneous rupture of acute ascending aortic dissection in a young pregnant woman: A sudden unexpected deathMarfan’s syndrome and other aortopathies in pregnancyStanford Type A Aortic Dissection in Pregnancy: A Diagnostic and Management ChallengeAcute Type A Aortic Dissection in a 31-week Pregnant Patient^|^mdash;A Case Report^|^mdash;Successful Treatment of a Gravida with Acute A Type Aortic Dissection in Late GestationComplicated Postpartum Type B Aortic Dissection and Endovascular RepairDescending Thoracic Aortic Aneurysm Rupture During Postpartum PeriodAcute type A aortic dissection and pregnancy: a population-based studyThe juvenile acute aortic dissection which caused sudden death: a case reportCase 28-2010Surgical Management of Descending Thoracic Aortic Disease: Open and Endovascular ApproachesThoracic Aortic Dissection in an 18-Year-Old Woman with no Risk FactorsType A Aortic DissectionAortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10-Year Interval in New York StateAortic dissection in the young: when to suspect?Dissection aortique aiguë de type A GénéralitésPregnancy after a previous gestation complicated by an acute aortic dissectionA Case of Acute Aortic Dissection with Patent Ductus Arteriosus after the LaborAcute ascending aortic dissection during pregnancyFatal spontaneous rupture of an aneurysm of the splenic artery presenting as renal colicAortic Dissection in PregnancyCase 12-2004Pregnancy in women with Marfan’s SyndromeNATURAL HISTORY, PATHOGENESIS, AND ETIOLOGY OF THORACIC AORTIC ANEURYSMS AND DISSECTIONSPATHOLOGIC VARIANTS OF THORACIC AORTIC DISSECTIONSHELICAL (SPIRAL) CT IN THE EVALUATION OF EMERGENT THORACIC AORTIC SYNDROMESOutcome of pregnancy following intervention for coarctation of the aortaAcute thoracic aortic dissection: The basicsMaternal Genetic Disease and PregnancyAortic dissection in pregnancy: importance of pregnancy-induced changes in the vessel wall and bicuspid aortic valve in pathogenesisAortic dissection in women <40 years of age and the unimportance of pregnancyReproductive performance of two generations of women with Marfan's syndromeAortic dissection and aortic aneurysm surgery: Clinical observations, experimental investigations, and statistical analyses part IIIAortic dissection and aortic aneurysm surgery: Clinical observations, experimental investigations, and statistical analyses part IIMANAGEMENT OF GENETIC DISORDERS DURING PREGNANCYCongenital heart disease, heritable cardiovascular disease, and pregnancyFamilial Dissecting Aortic Aneurysm in the Absence of Marfan's Syndrome with Review of the Literature: Case ReportDiagnosis of abdominal aortic dissection by image-directed Doppler sonographyRare Inflammatory and HereditaryConnective Tissue DiseasesDissecting Aneurysm of the Infrarenal Abdominal Aorta — A Case ReportAortic DissectionTakayasu's Arteriopathy with Associated Descending Thoracic Aortic Dissection During Pregnancy: A Multidisciplinary Approach Leading to a Successful Outcome: A Case PresentationPrimäre Dissektion der linken Koronararterie mit Ventrikelruptur bei einer 27jährigen PatientinAortic dissection during pregnancy.Aneurysms of the Aorta and Its Major BranchesDisorders of Connective TissueAortic dissection during pregnancy: Treatment by emergency cesarean section immediately followed by operative repair of the aortic dissectionChest pain, collapse, and death in late pregnancyFailure of serial echocardiographic studies to predict aortic dissection in a pregnant patient with Marfan's syndromeThe Pathology of Intracranial Arterial Aneurysms and Their ComplicationsDissecting Aortic Aneurysm in Childhood and AdolescenceAortic dissection: Anatomy, consequences, and causesCoarctation resection in children with Turner’s syndromeDissecting and Atherosclerotic Aneurysms: A Survey of Post-Mortem Examinations, 1968–77Heart disease and pregnancyDissecting Coronary Artery Aneurysm: A Report of Two CasesFactors Predisposing to Development of Dissecting Aneurysm of the AortaPostpartum coronary artery dissection.Coronary artery dissection—A complication of cardiac catheterization without sequelae: Case report and review of the literatureDissecting Aortic AneurysmsDISSECTING ANEURYSM OF THE AORTA IN PREGNANCYKardiovascul�re Manifestationsformen des Marfan SyndromsULTRASTRUCTURAL and HISTOCHEMICAL STUDIES OF VASCULAR LESIONS IN MARFAN'S SYNDROME, WITH REPORT OF 4 AUTOPSY CASESAortic dissections and dissecting aneurysmsHypertension and aorticrupture in gonadal dysgenesisThe Marfan syndrome in pregnancy: A case reportZur Aetiologie, Klinik und Therapie des Aneurysma dissecans der AortaDissecting aneurysm in childhoodEndovascular Therapy for Aortic DissectionPrimary dissecting aneurysms of coronary arteriesDissecting aneurysm complicating Marfan's syndrome (arachnodactyly) in a mother and sonRenal artery rupture in a pregnant woman with neurofibromatosisCardiac Surgery During PregnancyCoarctation of the aorta�ber Ver�nderungen der Vasa vasorum bei Medionecrosis aortaeDISSECTING ANEURYSMSFamilial dissecting aortic aneurysm. A report of three cases within two generations.Post-Partum Spontaneous Rupture of a Branch of the Ovarian ArteryANNULO-AORTIC ECTASIASpezielle Chirurgie der Erkrankungen und Verletzungen des ThoraxSudden and unexpected non-traumatic deaths in adults: A review of epidemiological and clinical studiesCoarctation of the aorta and pregnancyAneurysmenAnomalien der Aorta und der A. pulmonalisSymptomatic Valvular Myxomatous Transformation (The Floppy Valve Syndrome)Dissecting aneurysm of the ascending aorta during the third trimester of pregnancy with cardiac tamponadeThe Marfan syndrome and pregnancyMarfan syndrome, dissecting aneurysm of the aorta, and pregnancyTHE MARFAN SYNDROME: CLINICAL AND NECROPSY FINDINGS IN THE A. FAMILYSaccular Aortic Aneurysm due to Aortic Valve StenosisCine-aortographic Evaluation of Aortic Insufficiency Unsuspected Idiopathic Aneurysmal Dilatation of the Aortic Root as a Possible Indication of the Marfan SyndromeJOHN S. BARRETT, M.D., JOHN HELWIG JR., M.D., F.A.C.P., CALVIN F. KAY, M.D., F.A.C.P., JULIAN JOHNSON, M.D., F.A.C.S.Symptomatic Disseminated Cystic Medial NecrosisPainless Dissecting Aneurysm of the AortaCoarctation of the aorta with saccular aneurysm in pregnancyVascular lesions of the female pelvisSPONTANEOUS RUPTURE OF THE SPLENIC ARTERY IN PREGNANCYHeart Disease in PregnancyDISSECTING ANEURYSM ASSOCIATED WITH PREGNANCY. Report of a CaseSurgical Treatment of Dissecting Aneurysm of the Aorta Analysis of Seventy-Two CasesMYOCARDIAL INFARCTION DURING PREGNANCY AND PUERPERIUMACCURACY OF INJECTIONS FROM MULTIDOSE CONTAINERSDissecting Aneurysm of the Aorta The Clinical Features of Thirty Autopsied CasesDissecting aneurysm of coronary artery in the puerperiumAngeborene Herz- und GefäßmißbildungenKrankheiten der GefäßeKrankheiten der GefäßeDissecting aneurysm of the aorta treated surgicallyRUPTURE AND DISSECTING ANEURYSM OF THE AORTAInteractions of pregnancy and heart diseaseMarfan's syndromeSex Incidence of Vascular Lesions in Aging Rats in Relation to Previous PregnanciesMedionecrosis of the Aorta in Marfan's Syndrome.Das „Marfan-Syndrom“DISSECTING ANEURYSM OF THE AORTA ASSOCIATED WITH CONGENITAL PULMONARY VALVULAR STENOSISAneurysms of the thoracic aortaAortic dissection in pregnancy: A case of Marfan's syndromeMultiple aneurysmal formationMarfan's syndrome associated with pregnancyAssociation of Aortic Valvular Disease and Cystic Medial Necrosis of the Ascending AortaAneurysms complicated by pregnancyAORTIC COARCTATION WITH PATCHY AORTIC MEDIONECROSIS AND A DISSECTING ANEURYSM IN THE ABDOMINAL AORTATHE COURSE AND PROGNOSIS OF COARCTATION OF THE AORTAThe Grönblad-Strandberg SyndromeDISSECTING ANEURYSM OF THE AORTA : A CLINICO-PATHOLOGICAL ANALYSIS OF 106 CASESHeritable disorders of connective tissueAortic Dissection (Dissecting Hematoma; Dissecting Aneurysm of the Aorta)RUPTURE OF AORTIC VALVE CUSP ATTACHMENT DUE TO CYSTIC MEDIONECROSIS OF THE AORTA: A CASE REPORT WITH NECROPSY FINDINGS*FRANK B. HAYS, M.D., WILLARD H. BOGGAN, M.D.A Case of Dissecting Aneurysm in a ChildCase 41031Dissecting Aortic Aneurysm during PregnancyDISSECTING AORTIC ANEURYSM IN MARFAN'S SYNDROMEMARFAN'S SYNDROMEParliamentAneurysms: General ConsiderationsDissecting Aneurysm of the AortaDissecting aneurysm of the ascending aorta associated with pregnancyDissecting Aneurysm of the AortaA case of dissecting aneurysm of the aorta causing maternal death at seven months with postmortem cesarean delivery of a live premature infantCardiovascular Lesions in ArachnodactylyACQUIRED COARCTATION IN THE NEW CHANNEL OF A HEALED DISSECTING AORTIC ANEURYSM*DON E. SANDO, M.D., STANDIFORD HELM, M.D., F.A.C.P.POST-MORTEM CÆSAREAN DELIVERY AFTER RUPTURE OF DISSECTING AORTIC ANEURYSMCoarctation of the aorta complicated by dissecting aneurysm in pregnancy: Report of a case with survival, studied by arteriographyCONGENITAL AORTIC ANEURYSM WITH VALVULAR STENOSIS AND DISSECTING ANEURYSMCase 37501Cardiovascular disease in Marfan's syndromeDissecting Aneurysms of the AortaDISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETS*L. FELDMAN, M.D.DISSECTING ANEURYSM OF THE AORTA IN MOTHER AND CHILDChronic Dissecting Aneurysm of the Aorta Resembling Chronic Rheumatic Heart DiseaseDissecting Aneurysm Treated Successfully by SympathectomyDissecting Aneurysm of the Aorta: Its Clinical, Electrocardiographic and Laboratory FeaturesSPONTANEOUS SUBPERITONEAL HAEMORRHAGE COMPLICATING PREGNANCY*DISSECTING ANEURYSMS AND "RUPTURE" OF THE AORTA IN ASSOCIATION WITH PREGNANCYPREGNANCY AND COARCTATION OF THE AORTAMassive aortic dissection (dissecting aneurysm) associated with pregnancy and hypertensionDissecting Aneurysm of AortaThe varied clinical syndromes produced by dissecting aneurysmDissecting aneurysm with hemopericardium 1 March 1944Volume 20, Issue 3Page: 486-511KeywordsAneurysmsAortaArmed forcesHypertensionPregnancy ePublished: 1 December 2008 Issue Published: 1 March 1944 PDF downloadLoading ...