PAUL D. WHITE, M.D., F.A.C.P.; FRANCIS L. CHAMBERLAIN, M.D.; SAUL R. KELSON, M.D.
Joseph Meranda, negro, 74 years old at death in 1938, a Cape Cod cranberry picker, entered the Massachusetts General Hospital in November 1933, in his seventieth year, because of ulcers of the right leg following varicose veins and an infected scratch of a year before. He had had no dyspnea, chest pain, or palpitation, but examination revealed moderate enlargement of the heart, aortic systolic and diastolic murmurs, a blood pressure of 195 mm. mercury systolic and 55 mm. diastolic, a positive Hinton reaction, and by roentgen-ray slight aneurysmal dilatation of the ascending aorta (figure 1 A). In three
WHITE PD, CHAMBERLAIN FL, KELSON SR. RUPTURE OF AORTA INTO THE PULMONARY ARTERY WITH LONG SURVIVAL1. Ann Intern Med. ;15:589–597. doi: 10.7326/0003-4819-15-3-589
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Published: Ann Intern Med. 1941;15(3):589-597.
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