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November 14, 1908


JAMA. 1908;LI(20):1671-1677. doi:10.1001/jama.1908.25410200019001d

Valentine Mott, who performed the first operation for ligation of the innominate artery in 1818, says:

Since the publication of Allan Burns' invaluable work on the surgical anatomy of head and neck, I have been in the habit of showing in my surgical lectures, the practicability of securing in a ligature, the arteria innominata; and I have had no hesitation in remarking that it was my opinion that this artery might be taken up for some condition of aneurisms and that a surgeon with a steady hand and a correct knowledge of the parts would be justified in doing it.

When the proper case presented itself to him he said further: "I could not for a moment hesitate in recommending and performing the operation."

METHOD OF CLASSIFICATION.  I am presenting for consideration five classes of cases tabulated as follows:

  1. Cases in which the innominate artery alone was ligated for subclavian

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