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CASIMIR A. DOMZALSKI, Jr., M.D.

AMA Arch Intern Med. 1951;88(6):770-782.

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

DIAGNOSIS of dissecting aneurysm of the aorta remains a difficult problem despite recent reports citing an increase in the number of correct antemortem diagnoses. The difficulty was summed up by Peacock¹ in 1843: "Nor are the symptoms which attend its formation and progress such as can be regarded as characteristic of the affection," and reiterated 101 years later by White²: "There are no pathognomonic signs of dissecting aneurysms." Shennan's³ collection in 1933 of 300 cases of dissecting aneurysm included only 7 which had been correctly diagnosed. In 1944 Leitch⁴ collected 279 additional cases, 20% of which had been correctly diagnosed. Since that time, the number of reported cases has risen to well over 600, and correct diagnoses have been made in 15 to 83% of cases in recent series.⁵

The fact that a correct antemortem diagnosis was not made for any of the nine patients . . . [Full Text PDF of this Article]

Author Affiliations
HONOLULU, T. H.

Footnotes
Dr. Domzalski is now Fellow in Medicine, Mayo Foundation, Rochester, Minn.

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