Henry Ford Hospital Medical Journal


The records of 13 patients with proven dissecting aortic aneurysm were studied with particular attention to the diagnosis, treatment, and prognosis in each case. The three essential steps in reaching an early correct diagnosis included (1) history and physical examination, (2) serial chest x-rays and (3) aortography. Electrocardiogram and SCOT and LDH measurements seem to be of value only when incompatible with the diagnosis of acute myocardial infarction. Significant differences between Type 1 and Type 3 dissections were observed in their clinical manifestations, results of treatment and natural prognosis.