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Article
January 13, 1912

SYNCHRONOUS LIGATION OF SUBCLAVIAN AND CAROTID FOR ANEURYSM OF INNOMINATE: REPORT OF A SUCCESSFUL CASE WITH NEW TECHNIC

Author Affiliations

Surgeon to Grant Hospital COLUMBUS, O.

JAMA. 1912;LVIII(2):113. doi:10.1001/jama.1912.04260010115021

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Abstract

Statistics afford only the most gloomy prognosis in the treatment of aneurysm of the innominate, and ligation of the subclavian in its first portion gives a mortality that is simply frightful. Thus Bryant, in his "Operative Surgery," gives twenty-one operations with nineteen deaths, and it is probable that while all successful ligations have been reported, many of the unsuccessful have failed to find their way into print. Binnie ("Operative Surgery") declares the first portion of this artery "unsuitable for ligation," and gives no technic for the operation. The only treatment, however, of innominate aneurysm requires ligation either of the innominate or of the subclavian and carotid, and notwithstanding the dangers of the procedure the operation must be undertaken in suitable cases.

Patient.  —Mrs. F. M. R., aged 52, married 34 years, consulted me May 14, 1910, having been referred to me by the late Dr. A. W. Jones of Westerville;

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