History of the ligature applied to the brachio-cephalic artery : with statistics of the operation : paper read before the Tennessee State Medical Society, May, 1856 / by Paul F. Eve.
- Eve, Paul F. (Paul Fitzsimmons), 1806-1877.
- Date:
- 1856
Licence: Public Domain Mark
Credit: History of the ligature applied to the brachio-cephalic artery : with statistics of the operation : paper read before the Tennessee State Medical Society, May, 1856 / by Paul F. Eve. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![s {or half an inch below where the ligature had cu1 thro showed appearances of inflammation, and there was a i ulum adhering to one of its sides. This artery half an inch from its origin, gave off an anomalous branch large enough to admit a crow-quill. The three vessels, innominate, right sub- clavian, and carotid, for an inch were destroyed and removed by the ulceration. They all opened into this aneurism*] sac or ulcer. The clavicle was found carious, and entirely divided about the middle. The circulation to the right upper extremity in this case was ■supposed at first to have been carried on by the inosculation of the epigastric and internal mammary arteries, and after the destruction of the aneurismal tumor in the subclavian by ulcer- ation, the principal supply of blood to the arm must have been d from the communication of the intercostals with the thoracic arteries; the anastomosis of the infra-scapula and other arteries of the axilla with the intercostals, and also the occipital with the ascending branches from the subclavian, may have contributed to this circulation. This case fully proved the important fact, that the circulation in the arm and head of the right side, and the regular perform- ance of the animal functions were not interrupted materially by tying the arteria innominata; and moreover, there was good promise for some time, that the operation would be successful. When a patient, after an important operation has been per- formed upon him, rises from bed, descends a flight of stairs and walks in the yard, all unaided, there are hopes that he will live again; but the subsequent experience of about a dozen similar attempts to the one above narrated, satisfies us now pretty surely that he cannot. But at the time that this case was published, the profession entertained little doubt that liga- ture of the arteria innominata would soon become the proper treatment for aneurisms situated near its bifurcation into the right subclavian and right carotid. Mr. Ab'mColles, lately one of the most distinguished surgeons and professors of Dublin, wrote to our no less celebrated coun- tryman, the following liberal and noble sentiments: I shall](https://iiif.wellcomecollection.org/image/b21118425_0012.jp2/full/800%2C/0/default.jpg)
