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November 1, 1890


JAMA. 1890;XV(18):645-648. doi:10.1001/jama.1890.02410440017003

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Electro-puncture of an Aortic Aneurism.  Tillmanns presented to the German Surgical Congress (Centralblatt für Chirurgie) a patient upon whom this operation had been performed. The aneurism appeared in 1885, but grew rapidly after the patient lifted a heavy weight in 1888. He complained of dizziness, anxiety, palpitation, sleeplessness, and especially of a severe pain under the right shoulder blade, and in the right arm. A small soft, pulsating tumor presented itself in the second intercostal space at the right border of the sternum. From April 17 to July 9, thirteen electro-punctures were made, under strict antiseptic precautions and with local anaesthesia, a long steel needle connected with the positive pole was carried about 5 centimetres into the sac, while the positive pole, connected with an ordinary metal electrode, was placed upon the surface near the tumor. Each sitting lasted from five to ten minutes, with a current strength of from

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