Two cases of ligature of the left carotid for aneurysm of the arch of the aorta : with the post-mortem specimens of four cases / by Christopher Heath.

  • Christopher Heath
Date:
1903
Catalogue details

Licence: In copyright

Credit: Two cases of ligature of the left carotid for aneurysm of the arch of the aorta : with the post-mortem specimens of four cases / by Christopher Heath. 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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    retarding it, and thus causes it to How arouud the sac instead of directly through or past it, and in this way leads to the deposit of laminated fibrin on the probably roughened wall of the sac. When this normal cure of the aneurysm has gone on for some time, there is no doubt a tendency for the small remaining cavity to become blocked with soft coagulum, and this is probably a critical moment for the patient, and may account for the sudden deaths which have occurred at considerable periods after the operation. An aneurysm which is semi- or completely solid must necessarily exercise much greater pressure on its surroundings than one which only contains fluid blood, whilst the sudden arrest of a stream of blood through a sac so near the heart would be likely to interfere with its action and lead to syncope. For the drawings of three of the preparations illus- trating this paper I have to thank Mr. T. W. P. Lawrence, F.R.C.S., Curator of the University College Museum.
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