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The Annals of Thoracic Surgery, Vol 49, 638-642, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Ascending aortic dissection in weight lifters with cystic medial degeneration

C de Virgilio, RJ Nelson, J Milliken, R Snyder, F Chiang, WD MacDonald and JM Robertson
Department of Surgery, Los Angeles County Harbor-UCLA Medical Center, Torrance.

We report 4 cases of ascending aortic dissection in patients with long histories of weight lifting. In 2 of the patients, the initial symptoms of dissection developed while they were lifting weights. Two patients had a history of hypertension and 2 had previously used anabolic steroids. All 4 were successfully treated surgically. Histopathology showed aortic medial changes in all 4. We believe that the hemodynamic stresses of weight lifting, namely, a rapid increase in systemic arterial blood pressure without a decrease in total peripheral vascular resistance, in combination with aortic medial degeneration may have contributed to the development of the aortic dissection.


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