Clinical study
The clinical recognition of dissecting aortic aneurysm

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Abstract

The clinical, roentgenologic and laboratory findings in 124 patients with dissecting aneurysm of the aorta are reported. In 53 patients the dissection occurred in the ascending aorta (“proximal” dissection), and in 71 patients the site of origin was the descending thoracic aorta (“distal” dissection). Certain distinct clinical differences between the groups were apparent. Although hypertension was an important predisposing factor, It was significantly more common in distal dissection, as was atherosclerosis. Back pain and hypertension on hospital presentation characterized patients with distal dissection. Conversely patients with proximal dissection were younger and had a significantly higher incidence of Martan's syndrome, cystic medial necrosis, anterior chest pain, pulse deficits, neurologic compromise, aortic insufficiency and congestive heart failure. In both groups, syncope appeared to correlate well with the occurrence of cardiac tamponade. Chest roentgenograms almost always showed an abnormal aortic contour. Aortic angiography, when performed, was usually confirmatory of the diagnosis.

References (24)

  • AE Hirst et al.

    Dissecting aneurysm of the aorta: a review of 505 cases

    Medicine

    (1958)
  • J Lindsay et al.

    Clinical features and prognosis in dissecting aneurysm of the aorta. A re-appraisal

    Circulation

    (1967)
  • Cited by (0)

    This study was supported by U.S. Public Health Service Grant HL-5196.

    1

    From the Department of Medicine (Cardiac Unit), Massachusetts General Hospital and Harvard Medical School.

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