Observations on some of the most frequent and important diseases of the heart; on aneurism of the thoracic aorta; on preternatural pulsation in the epigastric region: and on the unusual origin and distribution of some of the large arteries of the human body. Illustrated by cases / by Allan Burns.
- Date:
- 1809
Licence: Public Domain Mark
Credit: Observations on some of the most frequent and important diseases of the heart; on aneurism of the thoracic aorta; on preternatural pulsation in the epigastric region: and on the unusual origin and distribution of some of the large arteries of the human body. Illustrated by cases / by Allan Burns. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![•1 A ■ liowever, tUedBTt' Ue made lower, or if the an- te the y^elf will lead us astray/ In the se- cond third of the thigh, the femoral artery Is naturally covered by the sartorius, and when the spine of the ilium is much curved for- ward, the-^inuscle prematurely overlaps it. Where the ]ferson was otherwise well formed, I have seen the spine of the ilium so much turned towar^^tbe pubis, that the sartorius covered the femorS artery, before it had reached two inches below Paupart’s ligament. In taking up the femoral artery, whoever trusts to the direction of the sartorius muscle, will in Some cases be embarrassed; for where the muscle is nearer the pubis than it ought to be, he will find it very difficult to determine during the operation, the precise spot where he has hit the muscle, or to resolve whether to dissect on the ilial or pubal side of the sartorius. If the incision be .in any case made a little to the ilial margin of the triceps longus, the artery even although co- vered by the sartorius, is easily got at; we only require to follow the slope of the adductor mus- cles as we penetrate deeper; if we do this, we cannot miss the artery. If any guide be necessary, the triceps longus is more certain than the sartorius, which varies in its relation to the artery, according to the greater or less curvature of the spine of the ilium.](https://iiif.wellcomecollection.org/image/b2194670x_0331.jp2/full/800%2C/0/default.jpg)
