Ligation of the common and external carotid arteries and the jugular vein, for arterio-venous aneurism of the internal carotid and jugular, with division of the optic nerve on the opposite side, the result of a gunshot wound / by W.W. Keen.

  • William Williams Keen
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Ligation of the common and external carotid arteries and the jugular vein, for arterio-venous aneurism of the internal carotid and jugular, with division of the optic nerve on the opposite side, the result of a gunshot wound / by W.W. Keen. 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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    LIGATION OF THE COIMMON AND EXTERNAL CAROTID ARTERIES AND THE JUGULAR YJ^]^, FOR ARTERIO-VENOUS ANEURISM OF * INTERNAL CAROTID AND JUGULAR ; A\ I' DIVISION OF THE OPTIC NERA'E O: THE OPPOSITE SIDE, THE RESUJ- OF A GUNSHOT WOUND. By W. \V. keen, M.D., Professor of the Principles of Surgery and of Clinical S Medical College. j\Ir. St. Joiix, a Freiicluiiau, about twenty-five years of age; was first seen at the Presbyterian Hospital in Chicago, August 9, 1893, in consultation with Drs. D. Graham and N. Senn. Unfortunately, in consequence of change of residents and absence from the city, the history is imperfect. About three years before I saw him he had been shot, the ball entering just below the tip of the left mastoid. He Avas uncon- scious for a brief time, but when he recovered, either the same day or the next morning, he discovered that his right eye was absolutely blind. In addition to this, his right arm was paralyzed, but whether immediately after the accident or at a somewhat later period was not ascertained. When I saw him, the right arm was the subject of contractures, the result of the old monoplegia. The leg and face were not affected. The aneurismal bruit and thrill were very marked, and could be felt down the left side of the head and neck. There was but little external swelling. The man sought relief on account of the noise produced by the aneu- rism, whicii made it impossible for him to do any work. Operation, August 15, 1893, by the kind request of Dr. Graham. The carotid was laid bare by the usual iucision over the anterior