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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    record of ligation of the third portion of the left subclavian as a proximal operation, by Post, Liston, Sawinkoff, Wishart, Brodie, Porter, Earle, Skey, Cooper, Warren, Mott, Demme, Ferguson, Lane, White and Huntington. I. —1817. Post. Man, aged twenty-seven years; subclavio- axillary aneurism ; hfemorrhage ; sac bursts, discharging three ounces dark coagulated blood ; cure.^®* II. —1820. Robert Liston. Man, aged thirty-five years ; sub- clavio-axillary aneurism; violent haemorrhage from external jugular ; cured. III. —1822. Sawinkoff. Man, aged thirty years ; subclavio- axillary aneurism ; size of an egg; under the acromial extremity of the clavicle; proximal ligature of third portion; great difficulties because of the raising of the clavicle by the tumor; cure.^*® IV. —1823. Wishart. Man, aged forty-seven years; subclavio- axillary aneurism ; abscess in axilla; cured.'®’ V. —1823. Brodie. Man, aged fifty-six years ; subclavio-axillary aneurism ; gangrene ; exhaustion ; death ; thrombi on both sides of ligature.'®® VI. —1829. Porter. Man, aged forty years ; subclavio-axillary aneurism; suppuration of sac; cured.'®® VII. —1830. Earle. Man, aged fifty-four years; subclavio- axillary aneurism, immediately below the left clavicle, just where the artery passes beneath the clavicle; size of half of a large orange; dissection to ligate the artery on the outer edge of the scalene; the finger detected a pulsating cord in the situation of the artery, under which an aneurismal needle was passed without difficulty; on exam- ining the cord the pulsations were distinctly felt as strong as before; but on compressing it on the needle, the pulse at the wrist was not arrested and the man complained of a pain at the inner side of the elbow; it was apparent that the ulnar nerve had been surrounded and not the artery, which was immediately below it, and caused the nerve to pulsate by its close contact; before withdrawing the needle. It was armed with a silk and an assistant was requested to draw the nerve gently upward and outward; by this expedient, with a little more dissection, the naked artery was exposed fairly and readily; the same needle was passed round it, and on compressing it the pulse at the wrist was immediately arrested ; then the artery was ligated ; the case is considered as having recovered.®