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April 1958

Multiple Arteriosclerotic Aneurysms: Report of Case of Successful Surgical Removal

Author Affiliations

From the General Surgical Service, Medical Teaching Group Hospital, Veterans' Administration Hospital (15).

AMA Arch Surg. 1958;76(4):599-602. doi:10.1001/archsurg.1958.01280220119025

The reported incidence of multiple arteriosclerotic aneurysms varies from zero to 30%, but the average is probably in the neighborhood of 10%.1-22 The literature reveals little comment regarding treatment of multiple arteriosclerotic aneurysms6 in spite of the fact that it is now an accepted fact that single aneurysms can be satisfactorily treated by excision and grafting.23 The unusual case to be reported presented five separate definite aneurysms (Fig. 1), bringing up several interesting questions:

1. If a patient has multiple arteriosclerotic aneurysms, is the arterial disease too generalized and severe for the employment of surgical treatment? 2. What are the dangers of allergic response to successive arterial homografts? 3. What is the significance of the anatomical pattern of arteriosclerotic aneurysms?

Brief Clinical Summary 

History.  —This 59-year-old white man was admitted to the Medical Teaching Group of the Veterans' Administration Hospital (July 2, 1956) with the chief complaint

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