Abstract LIGATION of the inferior vena cava has become a well-established surgical procedure for the prevention of recurrent pulmonary emboli due to venous thrombosis in the lower extremities or pelvis. There are conflicting reports regarding the degree of long-term disability following ligation, ranging from complete absence of symptoms to virtual incapacitation by massive edema, varicosities, and leg ulcers. Several methods have been used in the past for demonstration of the routes by which blood can return to the heart, circumventing a ligature of the inferior vena cava in the lower lumbar level. Sappey and Dumontpallier,1 in 1862, injected the venous system with tallow via the femoral and axillary veins. They divided the collateral circulation into the anterior, lateral, and posterior channels. In 1940, Batson,2 working on the monkey and on cadavers, injected radiopaque material into the dorsal vein of the penis and demonstrated part of the potential collateral circulation References 1. Sappey, and Dumontpallier: Physiologie pathologique , Gaz. méd. de Par. 17:52-54, 66-70, 82-83, 1862 2. Robinson, L. S.: Surgery 25:329-347, 1949. 3. Batson, O. V.: The Function of the Vertebral Veins and Their Role in the Spread of Metastases , Ann. Surg. 112:138-139, 1940Crossref 4. The Role of the Vertebral Veins in Metastatic Processes , Ann. Int. Med. 16:38-45, 1942.Crossref 5. Northway, R. O., and Greenway, G. D.: The Vena Cava and Its Collateral Circulation , Univ. Hosp. Bull., Ann Arbor 10:67-69, 1944. 6. Robinson, L. S.: The Collateral Circulation Following Ligation of the Inferior Vena Cava: Injection Studies in Stillborn Infants , Surgery 25:329-347, 1949. 7. Anson, B.: Personal communication to the authors. 8. Boyd, D. P.: Ligation of the Inferior Vena Cava: Report of 4 Cases , Lahey Clin. Bull. 7:152-154, 1951. 9. Edwards, E. A.: Clinical Anatomy of Lesser Variations of the Inferior Vena Cava; and a Proposal for Classifying the Anomalies of This Vessel , Angiology 2:85-99, 1951.Crossref 10. Moses, W. R.: Ligation of the Inferior Vena Cava or Iliac Veins: A Report of 36 Operations , New England J. Med. 235:1-7, 1946.Crossref
A.M.A. Archives Surgery – American Medical Association
Published: Oct 1, 1952
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