A case of aneurysm involving the innominate, the right subclavian, and the right common carotid arteries : treatment by proximal ligature ... aneurysm to the middle cerebral artery / by Charles A. Ballance.

  • Ballance, Charles Alfred, Sir, 1856-1936.
Date:
1902
Catalogue details

Licence: In copyright

Credit: A case of aneurysm involving the innominate, the right subclavian, and the right common carotid arteries : treatment by proximal ligature ... aneurysm to the middle cerebral artery / by Charles A. Ballance. 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.

    14/16 page 12
    Front view of the great arteries and of the bones at the root of the neck shown in outline, together with a sketch of the position of the aneurysm and the site of the ligature of the innominate artery. (Natural size.) The anatomical position of the great arteries at the root of the neck is as indicated when the shoulders are raised and the head is thrown back. The manubrium sterni, the clavicles, and the first ribs are shown bv dotted lines, as are also the inner border of the right anterior scalene muscle (S) aad the lower border of the cricoid. The cricoid is nearly two and a half inches (six centimetres) from the sternal notch. The left border of the innominate artery first appears in the neck immediately behind the middle of the episternal notch—that is to say, exactly in the middle line. The bifurcation of the innominate is indicated by the arrow X ; the bifurcation is directly behind what Ward names the superior angle of the inner extremity of the clavicle. The subclavian arises from the back of the innominate and passes upwards, outwards, and also backwards, so that in the drawing it is foreshortened. At the episternal notch the innominate is 1‘25 inches (32 millimetres) from the surface. The figure shows that when the innominate is not itself diseased ligation of the vessel would be a cervical and not a mediastinal operation. The lines A A and B B represent the levels at which the transverse sections shown in Figs. 6 and 7 are taken.
    digitised image 1
    digitised image 2
    digitised image 3