aortic dissection at the university hospital of the west indies a 20-year clinicopathological study of autopsy cases主动脉夹层的大学医院西印度群岛一个20年的尸检病例临床病理研究.pdfVIP

Title: Haemopericardium as seen at autopsy in a case of ruptured acute aortic dissection Aortic dissection at the University hospital of the West Indies: A 20-year clinicopathological study of autopsy cases Coard Coard BMC Research Notes 2011, 4:348 /1756-0500/4/348 (9 September 2011) Coard BMC Research Notes 2011, 4:348 /1756-0500/4/348 SHORT REPORT Open Access Aortic dissection at the University hospital of the West Indies: A 20-year clinicopathological study of autopsy cases Kathleen CM Coard Abstract Background: An autopsy study of aortic dissection (AD) at our institution was previously reported. In the approximately 20 years since then, however, many aspects of diagnosis and treatment of this disease have changed, with a fall in mortality reported in many centers around the world. An impression amongst our pathologists that, there might be an increase in the prevalence of AD in the autopsy service at our hospital, since that earlier report, led to this repeated study, in an attempt to validate that notion. We also sought to identify any changes in clinicopathological features between the two series or any occurring during this study period itself. Findings: All cases of AD identified at autopsy, during the 20-year period since the conclusion of the last study, were collected and pertinent clinical and pathological data were analyzed and compared, both within the two decades of this study period and against the results of the last study. Fifty-six cases comprised this study group including 36 males and 20 females, with a mean age of 63.9 years. There were, more patients in the second decade (n = 33; 59%) compared with the first decade (n = 23; 41%). Hypertension as a risk factor was