Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly.
- Croly, Henry Gray
- Date:
- 1899
Licence: Public Domain Mark
Credit: Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly. 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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![and Edmunds. I now exhibit a specimen of the ligature (gold- beaters’ skin) on a piece of tubing. The aneurysm needle and the ligature was kindly sent to me by Mr. Ballance, who was most anxious to come over for the operation, but was unavoidably detained. When the first half-hitch was tied, I asked if the pulsation in the tumour had gone, and I was told the aneurysm ceased to pulsate (the tumour did not collapse), and that the radial pulse was gone. The advantage in using two ligatures is that a greater length of the intima of opposite sides is brought into contact. The wound, a very deep one, was thoroughly washed out with warm carbolic lotion* and the edges closed with gut sutures. The patient bore the opera- tion well. No small vessels required ligatures or clip forceps, and no director was used at any part of the operation. With the exception of a slight attack of tonsillitis (which ran up the temperature for a time) the patient made an un- interrupted recovery. It was fully a month before any trace of a radial pulse could he felt; the brachial pulse has not returned. The axillary tumour got hard, and lessened gra- dually; the hand, forearm and arm kept a natural heat. The casts [exhibited] were taken from time to time be- fore and subsequent to operation, and it is very interesting to observe the gradual disappearance of the tumour. I ex- hibited the patient at the Surgical Section of this Academy, and I also took him to London and exhibited him at the Clinical Society, where the case attracted much interest. The man works as well as he ever' did, and suffers no incon- venience whatever. A large artery, evidently the “trans- versalis colli,” can. be felt about an inch above the clavicle. The operation which I performed was originally sugges- ted and practised by Dupuytren in 1819. A man, aged 87, received a sword injury, and a subclavic axillary aneurysm formed. As the tumour encroached upon the third stage, Dupuytren divided the outer border of the scalenus anticus ; the artery could be seen, and its pulsations were stopped by finger passed to the bottom of the wound. .Triple silk thread used; ligatures removed on the eleventh day; wound](https://iiif.wellcomecollection.org/image/b22452084_0013.jp2/full/800%2C/0/default.jpg)
