This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (16)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Diagnosis and Selection of Patients for Surgery

JULIAN R. BECKWITH, M.D.; WILLIAM H. MULLER, M.D.; W. DEAN WARREN, M.D.; J. EDWIN WOOD, JR., M.D.

AMA Arch Intern Med. 1959;104(2):217-225.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The clinical diagnosis of acute dissecting aneurysm of the aorta has become increasingly important since a method of surgical treatment has been devised and successfully employed.^1-4

Prior to this, a diagnosis was valuable chiefly for differentiation from other conditions. Diagnosis has always been important prognostically, however, since the mortality of untreated dissecting aneurysm is considerably more than most of the conditions with which it is confused. The clinical picture of acute dissecting aneurysm is protean in its manifestations and may mimic many other conditions. There have been a number of reviews and case reports describing it.*

Since the spontaneous cure of dissecting aneurysm is accomplished by the reentry of the dissecting column of blood into the lumen of the aorta, thus producing a doublebarreled aorta,²³ surgical treatment was initially devised to accomplish this deliberately. This was done with the hope that the pressure in the false lumen would . . . [Full Text PDF of this Article]

Author Affiliations
Charlottesville, Va.

From the Departments of Medicine and Surgery, University of Virginia School of Medicine.

Footnotes
Submitted for publication Dec. 8, 1958.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?