Operative treatment of aneurisms of the third portion of the subclavian artery / by Edmond Souchon.

  • Souchon, Edmond, 1841-1924.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Operative treatment of aneurisms of the third portion of the subclavian artery / by Edmond Souchon. 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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    Smyth says he conceived the idea of ligating the vertebral from reading in Erichsen the enumeration of the anastomotic branches which carried on the collateral circulation.®® For many long years this startling achievement stood in grand loneliness and splendor, a radiant beacon-light on these dark seas. (lo) Simultaneous Ligation of the Innominate and Common Carotid, and Sixty-seven Days later, of First Portion of Subclavian. There is only one case on record of the simultaneous ligature of the innominate and common carotid, necessitating sixty-seven days later the ligature of the third portion of the subclavian. It is the celebrated case of Mitchell Banks, of Liverpool, in 1885. Man, aged fifty years. Well-marked symptoms of aneurism of third portion of right subclavian; ligature of innominate and of common carotid with kangaroo tendon ; pulsation became practically imperceptible; same evening, slight return of pulsation; by third day the pulsation is strong. Sixty-seven days later, ligation of first portion of subclavian; operation difficult and dangerous because of matted condition of tissues owing to first operation; on the twenty- third day after the last operation, haemorrhage; death thirty-seven days after.®®” (i i) Ligation of the Third Portion of the Subclavian as a Distal Operation for Aneurism of the Third Portion of the Right Subclavian.—been repulsed so often on the proxi- mal side, the desperate surgeons attacked the disease on the distal side. There is only one case of distal ligation of the third portion, with the aneurism between the ligature and the heart, foi an aneurism of the third portion. It is the case of Dr. Charles Monod, of Paris, France, upon which Professor Paul Berger read a masterly report to the Academy of Medicine of Paris. The common carotid was ligated simultaneously. Man, aged fifty-one years. Tumor size of a small hen s egg, it is limited below and outward by the clavicle; it is lost towards the