Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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Aneurysm near the origin has to be diagnosed from subclavian, innominate, and aortic aneurysm, and from other swellings--solid or fluid--met with in the neck. It is often difficult to determine with precision the trunk from which an aneurysm at the root of the neck originates, and not infrequently more than one vessel shares in the dilatation. A careful consideration of the position in which the swelling first appeared, of the direction in which it has progressed, of its pressure effects, and of the condition of the pulses beyond, may help in distinguishing between aortic, innominate, carotid, and subclavian aneurysms. Skiagraphy is also of assistance in recognising the vessel involved.
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