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Article
February 1923

INTRAPERICARDIAL RUPTURE OF AORTIC ANEURYSM IN A BOY SIXTEEN YEARS OF AGE

Author Affiliations

PITTSBURGH

From the Department of Pathology, Mercy Hospital, Pittsburgh, and the Coroner's Service, Allegheny County, Pa.

Arch Intern Med (Chic). 1923;31(2):232-240. doi:10.1001/archinte.1923.00110140084008
Abstract

Aneurysm of the thoracic aorta in the young is not encountered frequently. After a rather detailed search, it has been possible to collect from the literature forty-one instances of aneurysm of the thoracic aorta in persons not more than 18 years of age. We could not find a record of an earlier case than that reported in 1834 by R. T. Smith,1 who described an aneurysm of the ascending aorta in a boy, aged 16. The aneurysm had ruptured into the pericardial sac while the lad was ascending a ladder. Since then sporadic case reports have appeared and tabulations of known cases have been made by Le Boutillier,2 Bronson and Sutherland,3 Heiman4 and Calvin.5

As the accompanying table will show, twenty-four of the forty-one recorded cases were in males. The ages ranged from 1.5 to 18 years. Less than half (nineteen) had been amplified by necropsy. Nineteen had involved the

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