I. C. BRILL, M.D., F.A.C.P.; R. S. JONES, M.D.
It is well-known that simple syphilitic aortic aneurysm imposes no appreciable strain on the heart. If heart failure supervenes it is usually found to be due either to involvement of the aortic valve or to narrowing of the coronary ostia. In both these instances the strain is predominantly on the left ventricle and is recognized clinically by left-sided enlargement with aortic configuration and electrocardiographic changes denoting left ventricular preponderance.
A much rarer complication of aortic aneurysm is compression of the pulmonary artery with or without arterio-arterial communication. The cardiac strain in this instance is predominantly of the right ventricle. The
BRILL IC, JONES RS. THE SYNDROME OF COMPRESSION OF THE PULMONARY ARTERY BY A SYPHILITIC AORTIC ANEURYSM WITH OR WITHOUT ARTERIO-ARTERIAL COMMUNICATION1. Ann Intern Med. ;24:111–118. doi: 10.7326/0003-4819-24-1-111
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Published: Ann Intern Med. 1946;24(1):111-118.
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