Arterio-venous aneurism of the common carotid artery and internal jugular veins : double ligature of both vessels, recovery / by W.W. Keen.

  • William Williams Keen
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Arterio-venous aneurism of the common carotid artery and internal jugular veins : double ligature of both vessels, recovery / 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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    at the upper end of the neck. Pressure had been applied continuously from the time of the accident until he was placed under my care. Not only had it done no good, but I am inclined to think it had done positive harm, except at first when it checked the hemorrhage; for to this cause must be attributed the rotation and lateral curvature of the neck—a a source of great discomfort as well as a marked deformity. I attempted, it will be seen, after double ligature of both vessels, to extirpate the sac, as has been done of late with such admirable success, as shown by Dr. Curtis. I abandoned the excision, inasmuch as the operation had been very long, and the attachment of the sac to the pneumogastric, and probably also to the sympathetic nerve, was so intimate that I was convinced I would do more harm than good by proceeding. I laid open the vein, however, in order to see whether there was any branch uniting the artery and vein between ray ligatures, which were far apart. It was fortunate that I did so, for had I not, the vessel which I found still opening into the sac might have ke])t up trouble, and even made the operation futile. 2