Intrathoracic aneurysm / by F. de Havilland Hall.
- Hall, Francis de Havilland.
- Date:
- 1913
Licence: In copyright
Credit: Intrathoracic aneurysm / by F. de Havilland Hall. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![Dr. Dawson Turner's 2' experiments would suggest that surgeons should employ zinc wire for introduction into the aneurysm, which they intended to treat by electrolysis rathfer than silver or other kinds of wire, a larger and a firmer precipitate being deposited by this means; A full account of the results of the method of treatment by wiring, with or without electrolysis, will be found in the discussion which took place at the Surgical Section of the Royal Society of Medicine in May last. Mr. d'Arcy Power's '^^ conclusions at this discussion are so much to the point that I will quote them in extenso :— The chief indications for the operation of wiring are : 1. An aneurysm of the ascending part of the arch of the aorta, especially if X ray examination in two planes at right angles to each other indicate sacculation. 2. Abdominal aneurysm in the usual situation—namely, at the origin of the cceliac axis. Both these types of aneurysm are usually saccular, and the louder the bruit the greater is the chance of a case being a suitable one for wiring, because the aneurysm is probably saccular and the opening of the sac small. Medical treatment is of no avail. [Rather a gratuitous remark ] The chief contra-indications are: 1. Rapid increase of pain or of pressure symptoms. These are probably indicative of an early and fatal termination. If these symptoms pass away under treatment the question of operation can be again considered. 2. The presence of a second aneurysm. 3. Sepsis. 4. Involvement of the transverse part of the arch. The cases recorded by Hodgson show clearly that the patient's discomfort is much increased by consolidation taking place in this situation. Professor A. A. Eshner^ has collected the records of 36 cases, in which an aortic aneurysm has been treated by the introduction of wire into the sac and the passage of a galvanic current through the wire. In 19—i.e., in about half the cases—death followed within a month of the wiring, the best result being that obtained by Professor Rosenstirn, whose patient lived nearly 12 years after the operation. One of Professor Eshner's patients lived four weeks, the other a little over seven months. The risk run in passing wire into the sac of an aneurysm of the arch of the aorta is well illustrated by a case treated by Mr. H. A. Ballance.^T He introduced silver wire into the sac, and passed an electrolytic current through the wire. The patient lived ten months after the operation in com-](https://iiif.wellcomecollection.org/image/b21519031_0087.jp2/full/800%2C/0/default.jpg)
