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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    sensations being produced by the dragging on the cervical portion of the brachial plexus, owing to their connection with the vessel. The ligature was now tied, and the wound dressed. The pulsa- tions in the aneurismal sac, as well as those of the radial artery at the wrist, at once ceased, and all appearance of tumor vanished. The patient's arm and hand were a little cold directly after the operation, but being rolled in flannel they soon regained their natu- ral temperature. 25th.—Found her quite comfortable. She had passed a quiet night. 26th.—Patient states that the pulse at the left wrist returned for a time last evening, it then disappeared, but returned again, though faintly, this morning. I could not discover it at the time of my visit. 27th.—She has been somewhat troubled by occasional pains in the arm. The pulse was felt yesterday once or twice by Dr. Buck- minster Brown, being intermittent. The wound has healed by the first intention. She has suffered occasionally from palpitation of the heart. 29lh.—The pulse was perceived, though feebly, at the wrist, but could not be detected in the axilla. The spot formerly occupied by the aneurismal tumor, now presents an obvious depression. Jan. 2d, 1843.—The pulse is constant at the wrist. 14th.—The ligature still remains on the artery, notwithstanding the traction daily made by the patient in accordance with my direc- tions. A number of large vessels, taking their origin from the sub- clavian, exist in different parts of the neck. One of these, appa- rently the supra-scapular, passes directly over the sac, and pulsates so strongly as at first to convey the impression of a return of pulsa- tion in the aneurismal tumor. March 30th.—Once or twice in the course of the last two or three weeks, finding that the ligature on the vessel was not disposed