Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly.

  • Croly, Henry Gray.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    1‘liage from that vessel; tumour gradually reduced in size. Patient made good recovery. Both these cases, like mine, were traumatic, and are the only cases of the kind on record so far as I can discover. Auchinloss. surgeon, in ltSoo, to Town's Hospital, Glasgow, published a case of left subelavio-axillary aneurysm of 1<S months’ standing in a man, aged G5—a weaver by trade; no history of injury. The artery was ligated in its second stage. Considerable difficulty was experienced from the swollen state of the jugular vein, which, being fully twice the size of the thumb, completely overlapped the anterior scalenus. The operation was greatly facilitated by the use of Abraham Colies’ metallic retractors or flexible spatulas. The phrenic nerve Avas held inwards. In the evening the temperature in the axilla Avas 94 deg. Fahrenheit. The patient was bled profusely. Comatose symptoms super- vened and he died apoplectic, 68^ hours after operation. Post-mortem.—Aorta atheromatous. Godlee's Case.—A gentleman, aged (hi. admitted to Uni- versity College Hospital, London. The aneurysm projected into the left axilla, and although it Avas not to be felt above the clavicle, the pulsation in this situation aayis much more forcible than that on the opposite side. Symptoms existed for two years. Xo history of injury, or syphilis, or rheuma- tism. Tiifnell’s treatment Avas first tried, neither phrenic nerve or thoracic duct were seen, four strands of the finest, chromic catgut were employed, reef knot. Mr. Godlee writes to say aortic aneurysm subsequently caused the patient's death. Cases of ligation of the subclavian artery in the second part of its course for traumatism. 1. Dupuytren, 1819 ... ... / Recovery Liston, 1820 ... ... ) I'ecovorv o. Croly, 1895 ... ., ... / Recovery