Account of the dissection of a patient in whom the subclavian artery had been tied for axillary aneurism : with practical remarks / by William Fergusson.

  • Fergusson, William.
Date:
[1841]
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Licence: Public Domain Mark

Credit: Account of the dissection of a patient in whom the subclavian artery had been tied for axillary aneurism : with practical remarks / by William Fergusson. Source: Wellcome Collection.

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    posed to have been diminished, by the sloughing of that part of the artery which came away with the ligature ; yet the vessel closed permanently (for though a little blood came from the wound oil the third and fourth day after the separation of the ligature, there is no proof that it was from the subclavian), and in the preparation, the artery is pervious, as far as the deep cervical, which now seems like a diminutive continuation of the main trunk. I have, for many years, pointed out to my pupils, that an internal clot cannot reasonably be supposed to exist in such cases as I am now alluding to; and I have often referred to the example of ligature of the internal iliac artery as a case in point. The ligature here, cannot be placed far from the great current of blood through the common and external iliacs, yet, compared with similar operations on other great arteries, this operation has been wonderfully successful. In the museum at Guy’s, there is a preparation of an internal iliac which had been recently tied, where the ligature is more than an inch from the common and external iliacs, and there is a firm clot both above and below ; but it must be admitted, that an internal iliac of such a length, is rarely met with in the dis¬ secting room. I know that I am not singular in entertaining the opinions above expressed ; and it gives me pleasure to perceive, that they coincide with those entertained by a surgeon of vast practical experience,—Mr Porter of Dublin,—who states in his excellent treatise on aneurism, lately published, that he has “ tied the common carotid within one-eighth of an inch of its origin from the innominata, with the most complete success.” I shall not occupy more of the pages of this Journal at present, with any farther remarks on this case and preparation; but may possibly, on some future occasion, again refer to them, and to other preparations of arteries now in my collection, to illustrate some additional observations on the interesting subject of hemorr¬ hage. 8, Dover Street, Piccadilly, 20th July 1841. EDINBURGH : BALFOUR AND JACK.