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Article
December 20, 1919

THREE CASES OF AORTIC ANEURYSM TREATED BY WIRING AND ELECTROLYSIS

JAMA. 1919;73(25):1865-1867. doi:10.1001/jama.1919.02610510003002

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Abstract

On a number of occasions in the past I have reported in the pages of The Journal and in the Therapeutic Gazette cases of aortic aneurysm treated by the introduction of gold-platinum wire and electrolysis. The previously reported cases combined with the three herewith presented, make a total of thirty.

THE ESSENTIAL POINTS FOR SUCCESS  There are several points essential to the success of this method, and a number of others which, when understood clearly, show why it cannot always succeed:

  1. The aneurysm must be sacculated, not fusiform, and if it be of the dissecting sacculated type it is the most favorable for good results. It is not only useless but dangerous for obvious reasons to operate on a fusiform aneurysm.

  2. Although it is not at all necessary for the aneurysm to have eroded the chest wall so as to protrude, it must be close enough to the chest wall

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