Aneurysm of the Arch of the Aorta: Ligature of the Carotid and Subclavian
BMJ (Clinical Research Edition)
DLec. 4, 188o.] THE BRITISH MEDICAL 7OURNAL. 877 from the pressure of the tumour, and had scarcely half its normal thickness. The necropsy had to be performed hastily and under difficulties, as the friends were very hostile to anything of the kind. The specimen was sent to the museum of the Royal College of Surgeons in Ireland; and on Thursday, August ioth, assisted by Mr. F. Alcock Nixon, one of the surgeons to Mercer's Hospital, I made a further examination of it. I found that the aneurism,
... hat the aneurism, for which I had ligatured the carotid and subclavian vessels, involved not only the anterior innominata, but also the arch of the aorta itself; and that its sac was filled with firm hard laminze of fibrin, showing the great repair which Fig. 3.-Tumour formed by clot of fibrin coagula in layers. EIad taken place. At the posterior and left side of the arteria innominata was an oval opening, with its long measurement from above downwards filled with fibrin, communicating with the left vena innomisnata, which latter vessel communicated with the trachea at one point, and at another opened into the right lung; both these openings also being filled with firm coagula. This accounts for the dark-coloured hamorrhage reported on the 14th, 15th, and i6th of June.