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Article
February 1, 1902

TRAUMATIC ARTERIO-VENOUS ANEURYSMS OF THE SUBCLAVIAN VESSELS, WITH AN ANALYTICAL STUDY OF FIFTEEN REPORTED CASES, INCLUDING ONE OPERATED UPON.

JAMA. 1902;XXXVIII(5):318-324. doi:10.1001/jama.1902.62480050032001k
Abstract

PRACTICAL CONCLUSIONS.  As a result of the study of the arterio-venous aneurysms of the subclavian vessels which we have summarized in this contribution, we find that this class of injuries can be separated clinically and surgically into three distinct and well-defined groups:

  1. The immediately fatal cases in which death follows so quickly after the injury from the effect of the primary hemorrhage and shock that no effective surgical assistance can be rendered. These probably constitute the largest proportion of cases, especially in military practice, though an exact estimate can not be obtained. It is also probable that the vast majority of injuries involving the first and second divisions are fatal primarily, and are to be included in this group, except when the injuries are caused by small projectiles or sharp-pointed weapons.

  2. In this second group, primary hemorrhage may be very great, but spontaneous or temporary hemostasis occurs in the syncopal

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