DISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETS
Authors: L FELDMAN
Journal: Annals of Internal Medicine (1951)

Case Reports1 September 1951DISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETSL. FELDMAN, M.D.L. FELDMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-3-728 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMuch interest has developed in the diagnosis of dissecting aortic aneurysm. Although up to about a decade ago this vascular disease was merely a postmortem surprise, now it is frequently recognized clinically. Physicians are rapidly becoming more aware of the possibility of a dissecting aneurysm when considering the differential diagnosis of sudden severe pain in the chest, especially in hypertensive patients.PATHOLOGYChanges in the medial layer of the aorta are usually found. The nature of these changes may be different in various cases, but they are important for the formation of the dissection. The typical medionecrosis of Erdheim1is...Bibliography1. Erdheim VJ: Medionecrosis Aortae idiopathica, Virchows Arch. f. path. Anat. 273: 454, 1929. CrossrefGoogle Scholar2. Sailer S: Dissecting aneurysm of aorta, Arch. Path. 33: 704-730, 1942. Google Scholar3. KinneySylvesterLeVine TDRESA: Coarctation of the aorta and acute dissection associated with pregnancy, Am. J. M. Sc. 210: 729-732, 1945. CrossrefGoogle Scholar4. Logue RB: Dissecting aneurysm of aorta, Am. J. M. Sc. 206: 54-66, 1943. CrossrefGoogle Scholar5. Bauersfeld SR: Dissecting aneurysm of aorta, Ann. Int. Med. 26: 873-889, 1947. LinkGoogle Scholar6. Perry TM: Incomplete rupture of the aorta, Arch. Int. Med. 70: 689-713, 1942. CrossrefGoogle Scholar7. White PD: Heart disease, ed. 3, 1945, Macmillan Company, New York, pp. 700-703. Google Scholar8. Mallory TB: Weekly Path. Conferences, New England J. Med. 233: 386, 1945. Google Scholar9. Rogers H: Dissecting aneurysm of aorta, Am. Heart J. 18: 67-79, 1939. CrossrefGoogle Scholar10. BlainGlynnHiratzka ATPT: Dissecting aortic aneurysm, involving a renal artery, and simulating acute nephrolithiasis, J. Urol. 53: 753, 1945. CrossrefGoogle Scholar11. Post F: Hemothorax from leakage of a dissecting aneurysm, Lancet 2: 558, 1941. CrossrefGoogle Scholar12. SchnitkerBayer MAEA: Dissecting aneurysm of aorta in young individuals, Ann. Int. Med. 20: 486-511, 1944. LinkGoogle Scholar13. MoteCarr CDJL: Dissecting aneurysm of aorta, Am. Heart J. 24: 69-87, 1942. CrossrefGoogle Scholar14. PalmerMathiesen JDAK: Dissecting aneurysm of aorta, Canad. M. A. J. 55: 585-595, 1946. Google Scholar15. GlendyCastelmanWhite REBPD: Dissecting aneurysm, a clinical and anatomical analysis, Am. Heart J. 13: 129-161, 1937. CrossrefGoogle Scholar16. Sacks DR: Dissecting aneurysm of aorta, with cardiac tamponade, Ann. Int. Med. 23: 661-666, 1945. LinkGoogle Scholar17. Bay BE: Dissecting aneurysm of aorta, M. Clin. North America 28: 112-123, 1944. CrossrefGoogle Scholar18. GreenSaphir RO: Ecchymosis of abdominal wall as an early diagnostic sign in dissecting aneurysm of aorta, Am. J. M. Sc. 216: 24-26, 1948. CrossrefMedlineGoogle Scholar19. Nissim JA: Dissecting aneurysm. New sign, Brit. Heart J. 8: 203-206, 1946. CrossrefMedlineGoogle Scholar20. PaullinJames JEDF: Dissecting aneurysm, Postgrad. Med. 4: 291-299, 1948. CrossrefMedlineGoogle Scholar21. WoodPendergrassOstrum FCEPHW: Dissecting aneurysm of aorta; roentgenologic features, Am. J. Roentgenol. 28: 437-465, 1932. Google Scholar22. Weiss S: Dissecting aneurysm of aorta, New England J. Med. 218: 512-517, 1938. CrossrefGoogle Scholar23. Butler S: Dissecting aneurysm of aorta. An unusual case, having previous healed dissections and later slow dissection of all major aortic branches, Am. J. Med. 3: 643-651, 1947. CrossrefMedlineGoogle Scholar24. Blain A: Dissecting aortic aneurysm without intimal rupture, Univ. Hosp. Bull., Ann Arbor 13: 21-24, 1947. MedlineGoogle Scholar25. Tyson MD: Dissecting aneurysm of aorta, Am. J. Path. 7: 581, 1931. MedlineGoogle Scholar26. Blain A: Dissecting aneurysm of aorta without intimal tear, Johns Hopkins Hospital, Autopsy No. 19478, June 1946. Google Scholar27. Ellis GM: Dissecting aneurysm with hemopericardium, Am. Heart J. 33: 860-865, 1947. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Received for publication June 2, 1949.From the Department of Medicine, Mount Sinai and Cook County Hospitals, Chicago, Illinois. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMurmurs other than the early diastolic murmur in aortic dissectionChest PainDissecting aneurysm of the aorta treated surgicallyDissecting Aneurysm of the Aorta 1 September 1951Volume 35, Issue 3Page: 728-742KeywordsAneurysmsAortaHospital medicineThoraxVascular diseases ePublished: 1 December 2008 Issue Published: 1 September 1951 PDF downloadLoading ...