Chronic Dissecting Aneurysm of the Aorta, Simulating Syphilitic Cardiovascular Disease; Notes on the Associated Aortic Murmurs

Article1 December 1940CHRONIC DISSECTING ANEURYSM OF THE AORTA, SIMULATING SYPHILITIC CARDIOVASCULAR DISEASE; NOTES ON THE ASSOCIATED AORTIC MURMURSBENJAMIN A. GOULEY, M.D., EDWARD ANDERSON, M.D.BENJAMIN A. GOULEY, M.D., EDWARD ANDERSON, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-6-978 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn the last 10 years, 31 cases of dissecting aneurysm of the aorta have been observed at necropsy at the Philadelphia General Hospital, an incidence of 1:480 in necropsies of patients over the age of 20 years.†Sixteen of these cases had presented the characteristic feature of dissection of the aorta, namely, the abrupt onset of severe and often excruciating pain which was usually thoracic, but also frequently abdominal, occurring in hypertensive patients and followed in most instances by sudden death. The duration of life from the onset of pain was short, generally a matter of hours or of a...Bibliography1. HAMBERGERFERRIS MEB: Dissecting aneurysms of the aorta, Am. Heart Jr., 1938, xvi, 1. CrossrefGoogle Scholar2. ROGERS H: Dissecting aneurysm of the aorta, Am. Heart Jr., 1939, xviii, 67. CrossrefGoogle Scholar3. ERDHEIM J: Medionecrosis aortae idiopathica cystica, Virchow's Arch. f. path. Anat., 1930, cclxxvi, 187. CrossrefGoogle Scholar4. LETULLE M: Bull. et mém. Soc. méd. d. hôp. de Paris, 1905, xxii, 1045. Google Scholar5. BOEGER H: A case of healed dissecting aneurysm of the aorta, Ztschr. f. klin. Med., 1906, lviii, 282. Google Scholar6. RESNICKKEEFER WHCS: Dissecting aneurysm with signs of aortic insufficiency, Jr. Am. Med. Assoc., 1925, lxxxv, 422. CrossrefGoogle Scholar7. HAMMANAPPERLY LFL: Spontaneous rupture of the aorta with aortic insufficiency, Internat. Clin., Series 43, 1933, iv, 251. Google Scholar8. 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ROESLERGIFFORDBETTS HUGW: Dissecting aneurysm of the aorta, correctly diagnosed with description of a sign heretofore not mentioned, Am. Heart Jr., 1937, xiii, 426. CrossrefGoogle Scholar15. MORGAN HJ: The prognosis of syphilis, Jr. Am. Med. Assoc., 1939, cxii, 311. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication June 1, 1940.From the Departments of Pathology and Cardiology of the Philadelphia General Hospital and the Laboratory of Pathology of the Medical School of the University of Pennsylvania.†This age selection was followed inasmuch as dissecting aortic aneurysm is rare in childhood and adolescence. Those cases of arteriosclerotic aneurysm, usually abdominal, which were complicated by small dissections of the adjacent vessel wall were excluded. Such minute dissections are usually the result of "medionecrosis aortae cystica," yet probably would not have occurred in the absence of the major arteriosclerotic factor. We included the occasional case where secondary dissection was prominent, i.e., 4 cm. or more. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEarly descriptions of aortic regurgitationSyphilitic AortitisKrankheiten der GefäßeSpontaneous aneurysm of the ductus arteriosusHealed Dissecting Aneurysm in Cystic Medial Necrosis of the AortaCHRONIC (HEALED) DISSECTING ANEURYSMSAneurysmenDissecting Aneurysm of the AortaACQUIRED COARCTATION IN THE NEW CHANNEL OF A HEALED DISSECTING AORTIC ANEURYSM*DON E. SANDO, M.D., STANDIFORD HELM, M.D., F.A.C.P.Chronic Dissecting Aneurysm of the Aorta Resembling Chronic Rheumatic Heart DiseaseAneurysmenArteriosclerotic aortic insufficiencyDissecting aneurysm of aorta with hemorrhagic infarction of the spinal cord and complete paraplegiaHUMANITY IN HOSPITALSDIAGNOSIS OF DISSECTING ANEURYSMAneurysmal dilatation of the aorta associated with cystic medial necrosisHEALED DISSECTING ANEURYSMDissecting Aneurysm of the Aorta *Aortic regurgitation caused by dilatation of the aortic orifice and associated with a characteristic valvular lesionTwo cases of dissecting aneurysm of the aorta, with ante-mortem diagnosisDissecting aneurysm of the aorta 1 December 1940Volume 14, Issue 6Page: 978-990KeywordsAbdominal painAdolescentsAneurysmsAortaCardiovascular diseasesResearch laboratories ePublished: 1 December 2008 Issue Published: 1 December 1940 PDF downloadLoading ...