Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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Inasmuch as obliteration of the sac and the feeding artery is out of the question, surgical treatment is confined to causing coagulation of the blood in an extension or pouching of the sac, which, making its way through the parietes of the chest, threatens to rupture externally. This may be achieved by Macewen's needles or by the introduction of wire into the sac. We have had cases under observation in which the treatment referred to has been followed by such an amount of improvement that the patient has been able to resume a laborious occupation for one or more years. Christopher Heath found that improvement followed ligation of the left common carotid in aneurysm of the transverse part of the aortic arch.
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