[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.238.168. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
March 24, 1906

A CASE OF RIGHT SUBCLAVIAN ANEURISM— ATTEMPTED ENDOANEURISMORRHAPHY (MATAS).CURE FOLLOWING SIMULTANEOUS LIGATION OF COMMON CAROTID AND FIRST PORTION OF SUBCLAVIAN.

Author Affiliations

Attending Surgeon to Mount Sinai Hospital. NEW YORK.

JAMA. 1906;XLVI(12):872-875. doi:10.1001/jama.1906.62510390030001h
Abstract

A study of the classical paper by Matas1 describing his operation for the cure of aneurism impressed me profoundly. The operation aims at the obliteration of the sac with comparatively little disturbance of the circulation of the part. After securing preliminary hemostasis by means of the elastic bandage, the aneurism is opened in the general course of the affected vessel and all of its internal orifices are closed by suture. The sac itself is then obliterated by rows or layers of sutures. In the case of sacculated aneurisms this procedure may be carried out without interfering with the lumen of the vessel itself. In fusiform aneurisms, however, it may be necessary to obliterate the affected vessel together with the sac, although in some cases the vascular lumen may be re-established by suturing around a rubber tube, the ends of which have been placed in the two main openings of the

First Page Preview View Large
First page PDF preview
First page PDF preview
×