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SURGICAL TREATMENT OF ARTERIOSCLEROTIC ANEURYSMS OF THE ABDOMINAL AORTA

SURGICAL TREATMENT OF ARTERIOSCLEROTIC ANEURYSMS OF THE ABDOMINAL AORTA Abstract ARTERIOSCLEROTIC aneurysms of the abdominal aorta present as serious a challenge to surgeons today as they have at any preceding time, although the reasons for this situation are different from those pertaining as recently as 15 years ago. Whereas in the past the details of operative technique successfully challenged the surgeon, the current methods of surgical treatment of vascular diseases are sufficiently refined to permit direct as well as indirect attacks on such aneurysms. Pressing problems remain that are no less urgently in need of settlement than are the purely technical ones. These have to do with indications for operation in abdominal aortic aneurysm, selection of the type of procedure to be used, and evaluation of the efficacy of the operative procedures under consideration in the alleviation of symptoms and the prolongation of life. This paper presents experience with the operative treatment used in 23 patients who had aneurysms of References 1. Grindlay, J. H., and Waugh, J. M.: Plastic Sponge Which Acts as a Framework for Living Tissue: Experimental Studies and Preliminary Report of Use to Reinforce Abdominal Aneurysms , A. M. A. Arch. Surg. 63:288-297 ( (Sept.) ) 1951.Crossref 2. Wylie, E. J.; Kerr, E., and Davies, O.: Experimental and Clinical Experiences With the Use of Fascia Lata Applied as a Graft About Major Arteries After Thrombo-Endarterectomy and Aneurysmorrhaphy , Surg., Gynec. & Obst. 93:257-272 ( (Sept.) ) 1951. 3. Dubost, C.; Allary, M., and Oeconomos: Anéurysme de l'aorte abdominale traité par resection et greffe , Arch. mal. cœur 44:848-851 ( (Sept.) ) 1951. 4. Schafer, P. W., and Hardin, C. A.: The Use of Temporary Polythene Shunts to Permit Occlusion, Resection, and Frozen Homologous Graft Replacement of Vital Vessel Segments: A Laboratory and Clinical Study , Surgery 31:186-199 ( (Feb.) ) 1952. 5. Estes, J. E., Jr.: Abdominal Aortic Aneurysm: A Study of 102 Cases , Circulation 2:258-264 ( (Aug.) ) 1950. 6. Linton, R. R.: Intrasaccular Wiring of Abdominalarteriosclerotic Aortic Aneurysms by the "Pack" Method , Angiology 2:485-498 ( (Dec.) ) 1951. 7. Blakemore, A. H.: Progressive Constrictive Occlusion of the Abdominal Aorta With Wiring and Electrothermic Coagulation: A One-Stage Operation for Arteriosclerotic Aneurysms of the Abdominal Aorta , Ann. Surg. 133:447-462 ( (April) ) 1951. 8. Poppe, J. K.: Cellophane Treatment of Syphilitic Aneurysms With Report of Results in 6 Cases , Am. Heart J. 36:252-[ill] ( (Aug.) ) 1948. 9. Lowenberg, E. L.: Aneurysm of the Abdominal Aorta: Report of 2 Cases Treated by "Cutis Grafting," Angiology 1:396-404 ( (Oct.) ) 1950. 10. Berman, J. K., and Hull, J. E.: The Treatment of Aneurysms With Fibroblastic Agents: Experimental and Clinical Studies With the Use of Sodium Dicetyl Phosphate , Surg., Gynec. & Obst. 94:543-549 ( (May) ) 1952. 11. Clatworthy, H. W., Jr., and Varco, R. L.: A Small Bore Polythene Shunt to Prevent Mechanical Shock After Prolonged Cross-Clamping Thoracic Aorta , Proc. Soc. Exper. Biol. & Med. 74:434-436 ( (June) ) 1950. 12. Gross, R. E.: Treatment of Certain Aortic Coarctations by Homologous Grafts: A Report of 19 Cases , Ann. Surg. 134:753-768 ( (Oct.) ) 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

SURGICAL TREATMENT OF ARTERIOSCLEROTIC ANEURYSMS OF THE ABDOMINAL AORTA

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1953.01260040643002
Publisher site
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Abstract

Abstract ARTERIOSCLEROTIC aneurysms of the abdominal aorta present as serious a challenge to surgeons today as they have at any preceding time, although the reasons for this situation are different from those pertaining as recently as 15 years ago. Whereas in the past the details of operative technique successfully challenged the surgeon, the current methods of surgical treatment of vascular diseases are sufficiently refined to permit direct as well as indirect attacks on such aneurysms. Pressing problems remain that are no less urgently in need of settlement than are the purely technical ones. These have to do with indications for operation in abdominal aortic aneurysm, selection of the type of procedure to be used, and evaluation of the efficacy of the operative procedures under consideration in the alleviation of symptoms and the prolongation of life. This paper presents experience with the operative treatment used in 23 patients who had aneurysms of References 1. Grindlay, J. H., and Waugh, J. M.: Plastic Sponge Which Acts as a Framework for Living Tissue: Experimental Studies and Preliminary Report of Use to Reinforce Abdominal Aneurysms , A. M. A. Arch. Surg. 63:288-297 ( (Sept.) ) 1951.Crossref 2. Wylie, E. J.; Kerr, E., and Davies, O.: Experimental and Clinical Experiences With the Use of Fascia Lata Applied as a Graft About Major Arteries After Thrombo-Endarterectomy and Aneurysmorrhaphy , Surg., Gynec. & Obst. 93:257-272 ( (Sept.) ) 1951. 3. Dubost, C.; Allary, M., and Oeconomos: Anéurysme de l'aorte abdominale traité par resection et greffe , Arch. mal. cœur 44:848-851 ( (Sept.) ) 1951. 4. Schafer, P. W., and Hardin, C. A.: The Use of Temporary Polythene Shunts to Permit Occlusion, Resection, and Frozen Homologous Graft Replacement of Vital Vessel Segments: A Laboratory and Clinical Study , Surgery 31:186-199 ( (Feb.) ) 1952. 5. Estes, J. E., Jr.: Abdominal Aortic Aneurysm: A Study of 102 Cases , Circulation 2:258-264 ( (Aug.) ) 1950. 6. Linton, R. R.: Intrasaccular Wiring of Abdominalarteriosclerotic Aortic Aneurysms by the "Pack" Method , Angiology 2:485-498 ( (Dec.) ) 1951. 7. Blakemore, A. H.: Progressive Constrictive Occlusion of the Abdominal Aorta With Wiring and Electrothermic Coagulation: A One-Stage Operation for Arteriosclerotic Aneurysms of the Abdominal Aorta , Ann. Surg. 133:447-462 ( (April) ) 1951. 8. Poppe, J. K.: Cellophane Treatment of Syphilitic Aneurysms With Report of Results in 6 Cases , Am. Heart J. 36:252-[ill] ( (Aug.) ) 1948. 9. Lowenberg, E. L.: Aneurysm of the Abdominal Aorta: Report of 2 Cases Treated by "Cutis Grafting," Angiology 1:396-404 ( (Oct.) ) 1950. 10. Berman, J. K., and Hull, J. E.: The Treatment of Aneurysms With Fibroblastic Agents: Experimental and Clinical Studies With the Use of Sodium Dicetyl Phosphate , Surg., Gynec. & Obst. 94:543-549 ( (May) ) 1952. 11. Clatworthy, H. W., Jr., and Varco, R. L.: A Small Bore Polythene Shunt to Prevent Mechanical Shock After Prolonged Cross-Clamping Thoracic Aorta , Proc. Soc. Exper. Biol. & Med. 74:434-436 ( (June) ) 1950. 12. Gross, R. E.: Treatment of Certain Aortic Coarctations by Homologous Grafts: A Report of 19 Cases , Ann. Surg. 134:753-768 ( (Oct.) ) 1951.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Nov 1, 1953

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