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Yeungnam Univ J Med > Volume 9(2); 1992 > Article
Yeungnam University Journal of Medicine 1992;9(2):334-341.
DOI: https://doi.org/10.12701/yujm.1992.9.2.334    Published online December 31, 1992.
Clinical observation of aortic dissection.
Byeong Ik Jang, Jin Ho Park, Dong Ku Shin, Yeoung Jo Kim, Bong Sup Shim, Hyun Woo Lee, Su Hyen Kim, Sung Sae Han
Abstract
A clinical review of 34 cases of aortic dissection which were admitted to Yeungnam University hospital between March 1983 and April 1992. The results are as follows: 1. The peak incidence was in 5th, 6th decade and male to female ratio was 1.83:1. 2. The most common cause of aortic dissection was atherosclerosis and hypertension (79%). 3. The most common presenting symptom was pain (73%). but dyspnea, palpable mass, murmur, shock were also observed. 4. Abnormal electrocardiographic finding was myocardial ischemia in 6 cases, arrhythmia in 5 cases, LVH in 5 cases. 5. The X-ray findings showed abnormal aortic contour in 10 cases but normal X-ray finding was observed in 63% of DeBaKey Type III. 6. The most common diagnostic procedure was echocardiogram and abdominal Ultrasonography. 7. The mortality of all cases was 20%, operation mortality was 18% but no death of medically treatment in medical indication.
Key Words: Aortic dissection


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