[Clinicopathology of aortic dissection].
A population based study was carried out over a 25-year period (1972-1997) to disclose the clinical and pathological features of aortic dissection based on the analysis of 79 (71 acute and 8 chronic) consecutive cases of disease observed in an defined population of 106,000 inhabitants. Of the 79 patients 65 (82.3%) were admitted to hospital and 14 (17.7%) died out of hospital. Their ages ranged from 36 to 97 years (mean, 65.4 yrs), 49 (62.0%) were men and 30 (38.0%) were women with means 61.2 and 69.1 years, respectively. The male/female ration was 1.6:1. All but two operated patients died. The pain was the leading symptom. Every patients had some kind of cardiovascular and respiratory signs. Neurologic symptoms occurred in 27/65 (41.5%) patients. In five patients the clinical picture of abdominal catastrophe and in two patients renal failure occurred. The major vessels were affected in 32/75 (42.7%) autopsies. Aortic rupture were seen in 64/79 (81.0%) cases. Five spontaneous healings were observed. The hypertension, the advantaged age and the arteriosclerosis are regarded as the mean predisposing factors.
Városi Kórház, Sümeg, Belgyógyázati Osztály.
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I
Mészáros
J
J
Mórocz
J
J
Szlávi
J
J
Schmidt
L
L
Nagy
J
J
Somogyi
L
L
Szép
A
A
Papp
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D001161:Arteriosclerosis / Q000150:complications; D002318:Cardiovascular Diseases / Q000150:complications; D002908:Chronic Disease; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015996:Survival Rate