MULTIPLE ANEURISMS OF THE AORTA 
BY 
JOHN HILL ABRAM, M.D. (Lond.), M.R.C.P. 
Senior Assistant Physician, Royal Infirmary 
Assistant Lecturer on Pathology, University College 
AND 
LYN DIMOND, M.B., B.Ch. (Victoria) 
Medical Tutor and Pathologist, Royal Southern Hospital 
The case is one of extreme interest, and warrants a short description of the 
clinical features. 
Jason Rowe, aged 40, was in Royal Infirmary, January 17-April 7, 1900. 
,, „ January 14-May, 1901. 
,, Southern Hospital, Aug. 21-Sept. 2, 1901. 
The first symptoms complained of were pains in the belly and flatulence, of 
three month's duration. Obvious signs of an abdominal aneurism were present, with 
some slight evidence of aneurism of the arch of the aorta. The apex beat was four- 
and-a-quarter inches from the median line. Under treatment he improved greatly, 
the pulsation practically disappearing. He returned to work, reappearing after an 
interval of some eight months, with a well-marked 'pressure' aneurism in the thorax. 
The apex beat was now five-and-a-half inches from the median line. The right 
radial, axillary, and both carotid pulses could hardly be detected. There was also 
marked dyspnoea. 
In December, 1900, he stated he had pains in the lumbar region, and on one 
occasion fell when returning from work, 'his legs giving way.' 
At no time was there any paralysis of the vocal cords, but there was some 
evidence of pressure on the right bronchus. 
Extract from Post-Mortem Report 
Pericardium. Contains a small quantity of straw-coloured fluid. 
Mediastinum. Left bronchus is somewhat stenosed, due to pressure of the 
aneurism, superior mediastinum is almost completely filled up by aneurism. 
Heart and Aneurism (Plate IV, Fig. 2). Hypertrophy, some dilation of left 
ventricle, mitral valves competent, slightly thickened by atheroma, right cavities full 
of 'post-mortem clot, valves normal. 
