Case of aneurism of the upper part of the axillary artery : attended by certain peculiarities and unsuccessfully treated by ligature of the subclavian artery / by R.J. Mackenzie.

  • Mackenzie, R. J. (Richard James), 1821-1854.
Date:
[1852]
Catalogue details

Licence: Public Domain Mark

Credit: Case of aneurism of the upper part of the axillary artery : attended by certain peculiarities and unsuccessfully treated by ligature of the subclavian artery / by R.J. Mackenzie. Source: Wellcome Collection.

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    CASE OF ANEURISM OF THE UPPER PART OF THE AXILLARY ARTERY, ATTENDED BY CERTAIN PECULIARITIES, AND UNSUCCESSFULLY TREATED BY LIGATURE OF THE SUBCLAVIAN ARTERY. jBY R. J. MACKENZIE, F.R.C.S.E., Lecturer on surgery, and junior ordinary surgeon to the ROYAL INFIRMARY, EDINBURGH. {FROM THE MONTHLY JOURNAL OF MEDICAL SCIENCE, FOR FEBRUARY 1852.] The form of aneurism, of which I believe the following case to be an example, is that first specially described by Mr Liston in a paper read before the Royal Medical and Chirurgical Society of London in 1842. The case which drew Mr Liston’s attention to the subject of the occasional communication of arteries with the cysts of abscesses, must be in the recollection of many. It was that of a boy, who suffered from strumous abscess beneath the angle of the jaw, and where a communication existed between the cyst of the abscess and the carotid artery at its bifurcation, the coats of that vessel having apparently formed part of the walls of the abscess, and hav¬ ing given way at one point by ulceration, so as to give rise to the formation of a false aneurism. The nature of the case being misunderstood, an opening was made, from which a profuse flow of arterial blood took place. The wound was immediately closed, and a ligature was placed low on the carotid artery on the following day. The case terminated fatally from secondary hemorrhage; and, on dissection, it was found that a direct communication existed between the canal of the artery and the cavity of the abscess. The opening of commu¬ nication was situated on the posterior aspect of the vessel, and exactly at the bifurcation of the common carotid trunk. It was 4t about three lines wide, and two and a half lines long.” Its edges SUTHERLAND AND KNOX, GEORGE STREET, EDINBURGH.