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December 30, 1944

AORTECTOMY FOR THORACIC ANEURYSM

Author Affiliations

ANN ARBOR, MICH.

From the Department of Surgery, University of Michigan Medical School.

JAMA. 1944;126(18):1139-1145. doi:10.1001/jama.1944.02850530017005
Abstract

On Oct. 20, 1943 we successfully removed an aneurysm of the thoracic aorta measuring 11 by 8 cm., together with a 7.5 cm. length of the aorta. We are reporting this case because of its historical interest from the physiologic, medical and surgical points of view, since we can find no record in which an aneurysm of the thoracic or abdominal aorta has been successfully removed or in which the thoracic aorta has been successfully ligated.

Kümmel1 reported in 1914 that he had resected a fist sized aneurysm of the lower thoracic aorta and closed the 10 centimeter long defect in the aorta with two rows of continuous sutures, hemorrhage having been controlled during this phase of the operation by a twelve minute digital compression of the aorta both above and below the aneurysm. After the operation pulsation was good in the lower extremities but the patient soon died

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