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February 1956

Traumatic (False) Aneurysms: The Hazard of Undue Delay in Surgical Treatment

Author Affiliations

New York
From the Department of Surgery, Harlem Hospital, Department of Hospitals, Aubre DeL. Maynard, Director.

AMA Arch Surg. 1956;72(2):277-283. doi:10.1001/archsurg.1956.01270200093018

Many types of surgical procedures have been devised in an attempt to cure arterial aneurysms. Antyllus and Purmann were outstanding pioneers in this field. The technique devised by Hunter (proximal ligation of the artery) was practiced because of the dangers inherent in the direct surgical approach to an aneurysm. Matas performed the first endoaneurysmorrhaphy in 1888, and his work during the next decade, with that of Halsted, led to the modern development of the surgery of aneurysms.

PATHOGENESIS OF TRAUMATIC ANEURYSMS  In the formation of a traumatic aneurysm there must be one constant condition. The injury to the vessel must be partial. Should complete severance of a vessel occur, retraction and clotting will take place. Often the presence of an aneurysm is not discovered for days or weeks. Many small leaks may seal off spontaneously and never break down. If there is partial division of an artery and there is

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