Diagnosis of Dissecting Aneurysm of the Aorta

Article1 April 1936DIAGNOSIS OF DISSECTING ANEURYSM OF THE AORTAEDWIN E. OSGOOD, M.D., M. F. GOURLEY, M.D., RUSSEL L. BAKER, M.D.EDWIN E. OSGOOD, M.D., M. F. GOURLEY, M.D., RUSSEL L. BAKER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-9-10-1398 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough more than 400 cases of dissecting aneurysm have been reported, only 11 have been correctly diagnosed during life. Shennan,1 in an extensive review of the literature up to 1933, accepts six cases.2 He does not accept the cases of Finny (1885), Prescott (1897), Mager (1908), and Heller (1904). Since Shennan's review, five more cases3 have been diagnosed during life. Hamman4 and Gatewood5 have each diagnosed a case after death but before the necropsy findings were known.The purpose of this paper is to report two additional cases diagnosed during life and to outline briefly the clinical and pathologic features...References1. SHENNAN T: Dissecting aneurysms. Medical Research Council Monograph. Special Report Series, No. 193, London. Published by His Majesty's Stationery Office, 1934. Google Scholar2. SWAINELATHAM KPM(a) : Case of dissecting aneurysm of the aorta, Trans. Path. Soc. London, 1855-56, vii, 106. (b) BAHRDT, R.: Aneurysma dissecans der Bauchaorta mit lethaler Berstung zwischen die Mesocolonblätter des Colon descendens, Arch. d. Heilk., 1872, xiii, 473. (c) WYSS, O.: Aneurysma dissecans der Aorta ascendens, Arch. d. Heilk., 1869, x, 490. (d) DAVY, H. GATES M.: Dissecting aneurysm of aorta, Brit. Med. Jr., 1922, i, 471-472. (e) MOOSBERGER, W.: Zur Symptomatologie des Aneurysma dissecans, Schweiz. med. Wchnschr., 1924, liv, 325. (f) BARTON E. M.: Dissecting aneurysm of aorta, Trans. Chicago Path. Soc., 1931, xiii, 399-401. Google Scholar3. SAMSON PC(a) : Dissecting aneurysms of aorta, including traumatic type; three case reports, ANN. INT. MED., 1931, v, 117-130. (b) KELLOGG, F., HEALD A. H.: Dissecting aneurysm of aorta: report of case diagnosed during life, with pathologic study, Jr. Am. Med. Assoc., 1933, c, 1157-1160. (c) WHITE P. D. BADGER T. L. CASTLEMAN B.: Dissecting aortic aneurysm wrongly diagnosed coronary thrombosis, Jr. Am. Med. Assoc., 1934, ciii, 1135-1139. (Case diagnosed is mentioned in footnote.) (d) LOUNSBURY J. B.: Clinical diagnosis of dissecting aneurysm of aorta, Yale Jr. Biol. and Med., 1935, vii, 209-214. (e) WEISS, S.: Clinical course of spontaneous dissecting aneurysm of aorta, Med. Clin. N. Am., 1935, xviii, 1117-1141. Google Scholar4. HAMMANAPPERLY LFL: Clinical pathological conference: Instance of spontaneous rupture of aorta with aortic insufficiency, Internat. Clin., 1933, iv, 251-272. Google Scholar5. GATEWOOD WE: Personal communication. Google Scholar6. OSGOOD EE: A textbook of laboratory diagnosis, 2 Ed., 1935, P. Blakiston's Son and Co., Philadelphia, p. 585. Google Scholar7. LAWRENCEZIMMERMAN JHHM: Pituitary basophilism; report of case, Arch. Int. Med., 1935, lv, 745. CrossrefGoogle Scholar8. LOESCHKE A: Aneurysma dissecans auf luetischer Grundlage, Frankf. Ztschr. f. Path., 1928, xxxvi, 56-81. Google Scholar9. WOODPENDERGRASSOSTRUM FCEPHW: Dissecting aneurysm of aorta, with special reference to its roentgenographic features, Am. Jr. Roentgenol., 1932, xxviii, 437-465. Google Scholar10. GAGER LT: Symptoms of dissecting aneurysm of the aorta, ANN. INT. MED., 1929, ii, 658-664. Google Scholar11. BENSONHUNTERMANLOVE RLWCCH: Spontaneous rupture of heart; report of 40 cases in Portland, Oregon, Am. Jr. Path., 1933, ix, 295-328. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Portland, Oregon*Received for publication November 19, 1935.From the Department of Medicine, University of Oregon Medical School and Multnomah County Hospital, Portland, Oregon. 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