"There is no disease more conducive to clinical humility thananeurysm of the aorta." These words of Sir William Osler stillresonate today, when many patients with ruptured abdominal aorticaneurysms die before reaching the hospital and the mortalityrate among those who reach the hospital can exceed 50 percent.The prevention of rupture through early detection and electiverepair remains the standard therapy. A recent study by Yoshimuraet al.,1 however, suggests the possibility of pharmacologictherapy.
Researchers have found that the degradation of the extracellular-matrixproteins elastin and collagen in the aortic wall is criticalto the pathogenesis . . . [Full Text of this Article]
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From the University of Toronto, Toronto.
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