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April 1959

Intramural Aortic Dissection as a Complication of Translumbar Aortography

Author Affiliations

Ann Arbor, Mich.
From the Departments of Surgery and Radiology, University of Michigan Medical School.

AMA Arch Surg. 1959;78(4):629-638. doi:10.1001/archsurg.1959.04320040123026

The recent enthusiasm for the treatment of aortic and peripheral vascular occlusive disease by direct surgical methods has led to a renewed interest in the use of translumbar aortography, as earlier described by dos Santos and his colleagues3 in 1929. In addition to being employed in the diagnosis of occlusive disease, translumbar aortography has been found valuable in the diagnosis and evaluation of renal disease, intra-abdominal masses of unknown nature, and abdominal and pelvic arteriovenous communications. Concomitant with the rather broad employment of this procedure, numerous reports of diverse complications have been recorded.1,2,4-7,9,11,13-18 Although most of the complications of translumbar aortography are of a transient nature and do not produce serious consequences, some are of extremely grave severity. Since translumbar aortography is now widely used, it seems pertinent to call attention to still another complication, intramural aortic dissection, which has not been emphasized in Previous reports. This complication

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