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Acute Aortic Disease.. - Index of

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334 Elefteriades<br />

Table 1 Individual Nontraumatic Thoracic <strong>Aortic</strong> Cases Reviewed (Continued )<br />

Meritorious<br />

(Yes/No)<br />

Alive (A)<br />

or dead (D)<br />

Aneurysm or dissection<br />

(plus location) Onset <strong>of</strong> symptoms Malpractice claim<br />

Age<br />

(decile)/sex<br />

Patient<br />

no.<br />

D Y<br />

D Y<br />

Delay in diagnosis (missed on<br />

CT scan)<br />

Failure to diagnose (not until<br />

postmortem)<br />

9 60s/M <strong>Aortic</strong> rupture Weeks <strong>of</strong> chest and<br />

(descending)<br />

back pain<br />

10 20s/M Type A dissection One week back pain,<br />

abdominal pain, bloody<br />

diarrhea<br />

11 Teens/M Type A dissection Chest pain after training Delay in diagnosis (died before D Y<br />

transfer to tertiary facility)<br />

12 30s/F Coarctation Presented with CHF Failure to prevent paraplegia A N<br />

13 50s/M Type B dissection Sudden onset chest pain Delay in surgery. Ruptured<br />

D N<br />

(prior Type A repair)<br />

awaiting catheterization<br />

14 50s/F Type A dissection Pain on watching TV Failure to diagnose<br />

D Y<br />

(CXR misread)<br />

15 50s/M Type A dissection Pain on job Failure to diagnose (arrested<br />

D Y<br />

during cardiac catheterization)<br />

16 70s/M Type A Dissection Atypical chest pain Delay in surgery for symptomatic D Y<br />

aneurysm. 6.8 cm aorta<br />

ruptured<br />

17 70s/M Thoracoabdominal Abdominal pain Delay in surgery. Aneurysm<br />

D Y<br />

aneurysm<br />

diagnosed. Repeated CT scans<br />

looking for “signs <strong>of</strong> rupture.”<br />

Patient’s 7 cm aneurysm<br />

ruptured after being heparinized<br />

for atrial fibrillation

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