In July, 1923, a white woman, aged 45, was seen in the outpatient department of Bellevue Hospital with a throbbing swelling in the right side of her neck. There were hard nodules about this area, and she was referred to the Memorial Hospital for treatment for metastatic carcinoma. A specimen removed from the neck showed chronic inflammatory disease. She returned to the clinic and was admitted to the First Surgical division on Nov. 6, 1923, for observation.
She was complaining of severe pain. On examination she appeared to be rather old for her age, with considerable arteriosclerosis. She had a tremor of the hands and head, which was diagnosed paralysis agitans. The aneurysm in the neck was thought to be of the right common carotid artery. The Wassermann reaction was negative. In view of her general condition operation did not seem advisable, and she was discharged on November 27.
GREENOUGH J. OPERATIONS ON THE INNOMINATE ARTERYREPORT OF A SUCCESSFUL LIGATION. Arch Surg. 1929;19(6):1484-1544. doi:10.1001/archsurg.1929.01150060546028