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Article
November 15, 1952

PERFORATION OF AN AORTIC ANEURYSM INTO THE SUPERIOR VENA CAVA

Author Affiliations

Wadsworth, Kan.; Omaha; Kansas City, Mo.; Wadsworth, Kan.
From the Medical Service of the Veterans Administration Hospital. Cardiologist (Dr. Jackson); former Residents in Internal Medicine (Drs. Morris and Twin); Internist and former Resident in Internal Medicine (Dr. Miller); and Chief, Department of Internal Medicine (Dr. Slavin), Veterans Administration Center, Wadsworth, Kan.

JAMA. 1952;150(11):1106-1110. doi:10.1001/jama.1952.63680110004013b
Abstract

Perforation of an aortic aneurysm into the superior vena cava is still a rare entity; most authors have reported one or two cases.1 Although our patient came to the Veterans Administration Hospital in May, 1950, we intended to delay publication until we had an additional case to report; however, we have not seen another patient with this condition. A correct diagnosis was made during the patient's life without cardiac catheterization or angiocardiography.

REPORT OF A CASE  L. R. T., a 53-year-old white male veteran, was admitted to the hospital by ambulance on May 11, 1950, in a semistuporous, disoriented, and confused state. He was dyspneic and could scarcely speak, the history being taken from his wife. The patient had been a heavy equipment operator and had taken great pride in his physical strength and ability to lift heavy objects.His present illness began approximately five to six weeks prior

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