0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Management of Dissecting Aortic Aneurysm

Robert Kleiger, MD; John Connors, MD; Louis V. Avioli, MD
Arch Intern Med. 1978;138(6):983-986. doi:10.1001/archinte.1978.03630310067021.
Text Size: A A A
Published online

Medicine Resident, The Jewish Hospital of St Louis, St Louis: The patient was admitted on Thanksgiving day in 1973 for the second time to The Jewish Hospital with a chief complaint of chest pain. He was known to have Marfan's disease and was initially admitted to Jewish Hospital in 1971 for an evaluation of an enlarged heart and cardiac murmurs. At that time coronary angiography and cardiac catheterization showed mitral insufficiency with prolapse of the mitral valve.

On the morning of his second admission the patient experienced continuous, severe, sharp, midline chest pains during intercourse with radiation to the jaws, attended by nausea, vomiting, and diaphoresis. At the time of admission he was taking digoxin, 0.2 mg daily, for chronic atrial fibrillation. Family history showed that his father had had Marfan's disease and died in his 40s of an aortic dissection. A sister had Marfan's disease and a brother died

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();