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(Chest. 1949;16:177-183.)
© 1949 American College of Chest Physicians

Acute Fatal Asphyxia Due to Aortic Aneurysm in Patient with Four Saccular Aneurysms of Thoracic Aorta: Case Report

GARFIELD S. BARNET M.D.1 and ARTHUR S. GLUSHIEN M.D.2

1 Resident, Internal Medicine, Veterans Administration Hospital, Aspinwall, Pennsylvania.
2 Chief, Cardiology Section, Veterans Administration Hospital, Aspinwall, Pennsylvania.

Aneurysms of the thoracic aorta commonly press upon the trachea or bronchi with resultant respiratory difficulty. Acute asphyxiation as the cause of death in patients with such aneurysms is rare. The present report describes a patient who died of acute asphyxia when an aortic aneurysm suddenly obstructed the tracheal lumen. This occlusion was observed bronchoscopically, yet at necropsy the tracheal lumen, though narrowed, was not occluded, suggesting that the tracheal obstruction during life was due to dynamic dilatation of the aneurysmal sac. An incidental finding was the presence of three smaller aneurysms of the thoracic aorta of syphilitic origin.






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Copyright © 1949 by the American College of Chest Physicians.