主动脉夹层动脉瘤(又称壁间动脉瘤)早于1700年由 Vesalius 首先报告。1826年 Laennec 命名为夹层动脉瘤。当时因其发病急骤,且多死亡,故生前不易做出临床诊断。正确的临床诊断始于 Swaine 及 Le-them 于1856年报告的一例。此后,临床诊断率长期以来一直保持着很低的水平。如1934年 Shennan 搜集了文献报告的300例中,生前肯定诊断者仅6例;1942年 Sailor 搜集文献报告的500例,死前确诊者仅33例。自1955年以来由于 DeBakey,Cooley及 Creech 等的研究及心血管造影、超声心动图检查 Aortic dissecting aneurysms (also known as wall aneurysms) were first reported by Vesalius as early as 1700. 1826 Laennec named dissecting aneurysm. At that time because of its sudden onset, and more death, it is difficult to make a clinical diagnosis before his death. The correct clinical diagnosis starts with an example reported by Swaine and Le-them in 1856. Since then, the clinical diagnosis rate has long maintained a very low level. For example, among the 300 cases in which Shennan collected literature reports in 1934, there were only 6 positive diagnosis before birth; in the year of 1942, 500 cases reported by the Sailor literature collection and only 33 cases confirmed before death. Since 1955 due to DeBakey, Cooley and Creech et al and cardiovascular angiography, echocardiography