DIAGNOSIS OF ARTERIOSCLEROTIC ANEURYSMS OF THE THORACIC AORTA: REPORT OF SIX CASES

Abstract

The early diagnosis of thoracic aortic aneurysm is important; duration of life, once symptoms such as hoarseness, hemoptysis and backache due to spinal erosion begin, is apparently limited. Roentgenography, fortunately, provides a significant clue by disclosing abnormal mediastinal or hilar shadows. If the vascular nature of the lesion is obscure, contrast visualization of the thoracic aorta by the method of angiocardiography will readily establish the diagnosis. The decision to perform surgery for arteriosclerotic thoracic aneurysms must take into account the advanced age and the tendency for arteriosclerosis to occur elsewhere. Even though not enough time has elapsed to properly assess the results, excision of the aneurysm and replacement by a graft promises to be effective in prolonging life.