REUBEN FINKELSTEIN, M.D., F.A.C.P.; MENDEL JACOBI, M.D., F.A.C.P.
It is a strange fact that dissecting aneurysm of the aorta, which presents such dramatic symptoms and about which so much has been written, is so rarely diagnosed during life. About 500 cases have been reported in the literature of which only 12 were diagnosed ante mortem. The condition usually occurs in patients between the ages of 40 and 70 years suffering from hypertension and arteriosclerosis. Syphilis, which is a questionable etiologic factor, appears to be present in only 10 per cent of the cases. The normal aorta can withstand great internal pressures, from 900 to 1500 millimeters of mercury.
FINKELSTEIN R, JACOBI M. DISSECTING ANEURYSM OF THE AORTA WITH A CASE REPORT1. Ann Intern Med. ;13:1991–1998. doi: 10.7326/0003-4819-13-10-1991
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Published: Ann Intern Med. 1940;13(10):1991-1998.
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