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Article
March 10, 1906

THE TREATMENT OF ANEURISM BY DIRECT, GRADUAL ARTERIAL CLOSURE.REPORT ON THE APPLICATION OF THE METHOD TO A CASE OF ANEURISM OF THE ABDOMINAL AORTA.

Author Affiliations

Surgeon to the Receiving and to the Fabiola Hospitals. OAKLAND, CAL.

JAMA. 1906;XLVI(10):704-710. doi:10.1001/jama.1906.62510370010001c
Abstract

RATIONALE OF TREATMENT.  The main basis for the suggestion of gradual arterial closure as a probable means of relief for certain cases of aneurism lies in three facts observed in human pathology and surgical experience:

  1. Gradual closure of a large blood vessel as from the pressure of a growing tumor, so far as such pressure is concerned, is not associated with depression of vital functions nor with nutritional or other disturbances within the area of its distribution. The anastomotic current is so gradually and perfectly established that the entire absence of symptoms due to circulatory disturbances may fail even to suggest the occlusion of a large blood vessel.

  2. In the larger proportion of those exceptional cases of aneurism in which a spontaneous cure occurs this results from the deposition of the laminated coagulum or so-called active clot, on the walls of the sac, and is caused by the slowing and

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