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Dissecting aneurysm of the aorta treated surgically

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      Abstract

      A case is described of a sixty-two year old man with antecedent hypertension, arteriosclerosis, psoriasis and psoriatic arthritis in whom a diagnosis of dissecting aneurysm of the aorta was made. This was subsequently confirmed by angiocardiography. Fenestration to the aorta was performed in which a double-barrelled channel was established to enable the blood from the aneurysm to re-enter the main stream. The patient was discharged ten days after operation in good condition. Two weeks later, because of epigastric pain, blood in the stool, and spitting of bright red blood, he was readmitted to the hospital. However his condition worsened and he died the same day. It was suspected that the cause of death was proximal extension of the dissection, possibly involving the pericardium and causing heart tamponade. Autopsy was not performed.
      The available case reports on the surgical treatment of dissecting aneurysm of the aorta are reviewed.
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