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Abstract The treatment of aneurysms has tried the ingenuity and skill of surgeons from the earliest of recorded medical experience. In the third century, Antyllus1 recommended ligation of the proximal and distal artery, followed by opening and evacuation of the sac. In 1786, John Hunter1 advised proximal ligation well above the diseased portion of the artery to prevent erosion of the wall and hemorrhage, an operation which he performed successfully on many occasions. After the monumental discoveries of Lister, treatment of these lesions was greatly enhanced, and the way prepared for the more definitive aneurysmorrhaphy techniques described in 1889 by Matas.2 Although Carrel * wrote little on the subject of aneurysm itself, he described accurate methods for blood vessel anastomosis, demonstrated the feasibility of arterial grafting by the employment of fresh and preserved vessels and so made possible the excision of aneurysms and their replacement by preserved grafts. This References 1. References 3 and 4. 2. Personal communication to the authors. 3. Warren, C. : Healing of Arteries , Baltimore, William Wood & Co., 1886. 4. Matas, R.: Endoaneurysmorrhaphy , Surg., Gynec. & Obst. 30:456, 1920. 5. Carrel, A.: Direct Anastomosis of Blood Vessels by End-to-End Union , Lyon méd. 93:859, 1902. 6. Carrel, A.: Results of Transplantation of Blood Vessels, Organs and Limbs , J. A. M. A. 51:1662, 1908. 7. Dubost, C. M.; Allary, J., and Oeconomos, N.: Resection of an Aneurysm of the Abdominal Aorta; Reestablishment of the Continuity by a Preserved Human Graft with Result after Five Months , A. M. A. Arch. Surg. 64:405, 1952. 8. DeBakey, M. E., and Cooley, D.: Surgical Considerations of Acquired Diseases of the Aorta , Ann. Surg. 139:963, 1954. 9. Lam, C. R., and Aram, H. H.: Resection of the Descending Thoracic Aorta for Aneurysm: Report of Use of Homograft in Case and in Experimental Study , Ann. Surg. 134:743, 1951. 10. Bahnson, H. T.: Definitive Treatment of Saccular Aneurysms of the Aorta with Excision of the Sac and Aortic Suture , Surg., Gynec., & Obst. 96:382, 1953. 11. Poppe, J. K.: Cellophane Treatment of Syphilitic Aneurysms with Report of Results in Six Cases , Am. Heart J. 36:252, 1948. 12. Yeager, G. H., and Cowley, R. A.: Studies on the Use of Polythene as a Fibrous Tissue Stimulant , Ann. Surg. 128:509, 1948. 13. Chunn, C. F.: Treatment of Aneurysms by Polythene Wrapping , Ann. Surg. 139:751, 1954. 14. Blakemore, A. H.: Progressive Constriction Occlusion of the Aorta with Wiring and Electrothermic Coagulation for the Treatment of Arteriosclerotic Aneurysm of the Abdominal Aorta , Ann. Surg. 137:760, 1953. 15. Woodhall, B., and Golden, J.: Fibroblastic Stimulation of Rabbit Artery Adventitia by Marine Varnish, "Krylon" and Latex , A. M. A. Arch. Surg. 66:587, 1953. 16. McCune, W. S.; Samadi, A., and Blades, B.: Experimental Aneurysms , Ann. Surg. 138:216, 1953.
A.M.A. Archives Surgery – American Medical Association
Published: Apr 1, 1955
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