Ligature of the left subclavian artery for subclavian aneurism : with a remarkable deviation of the vessel and consequent change of its relations / by J. Mason Warren.

  • Warren, Jonathan Mason, 1811-1867.
Date:
[1849?]
Catalogue details

Licence: Public Domain Mark

Credit: Ligature of the left subclavian artery for subclavian aneurism : with a remarkable deviation of the vessel and consequent change of its relations / by J. Mason Warren. 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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    the artery forcibly down on the rib, have twisted the thread with considerable force. This was done for the third time yesterday, and immediately afterwards the ligature separated, ninety-six days after the operation. The wound almost at once closed. I saw this patient on September 14th for the last time. At that period she was quite well, had recovered the use of her arm, and was in no way incommoded by the operation to which she had sub- mitted. The aneurismal tumor had in a great measure disappeared ; but it still conveys the impression of containing a fluid. Directly on its surface, and incorporated with it, is a very large arterial trunk, supposed, as above stated, to be the supra-scapular. This vessel pulsates powerfully, and at first gives an appearance of pul- sation to the tumor ; but by careful manipulation can be separated from it. The pulse at the wrist still remained a little less strong than in the corresponding artery of the other side. Boston, Nov. 1848. To those persons who may have noticed a case of ligature of both carotids, in the April number of this Journal for 1846, an account of the state of this patient, after the lapse of three years, may not be without interest. The object of this operation, it may be remembered, was to allow of the excision of a fungous tumor occupying nearly the whole of the lower lip, and based on an erectile tissue pervading the tongue, face, neck and chest. This tissue was rapidly increasing, and it was hoped that its growth might be arrested by thus cutting off the direct supply of blood to it. The arteries were tied in the latter part of the year 1845, and the tumor of the lip was then excised without the occurrence of any alarming hemorrhage.