Two cases of ligature of the left carotid for aneurysm of the arch of the aorta : with the post-mortem specimens of four cases / by Christopher Heath.

  • Heath, Christopher, 1835-1905.
Date:
1903
Catalogue details

Licence: In copyright

Credit: Two cases of ligature of the left carotid for aneurysm of the arch of the aorta : with the post-mortem specimens of four cases / by Christopher Heath. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    under Dr. Gilbart-Smith on September 3rd, 1891, when a pulsating tumour existed at the inner end of the right clavicle, and could be just felt about it. About the middle of November she began to complain of great pain shooting through the sternum and between the shoulders, and died suddenly on November 29th, 1891, more than a year after the operation. For the following abstract of a case of aneurysm under the care of Dr. Roberts, I am indebted to Mr. Bucknall, late Surgical Registrar of University College Hospital. Case 7.—James Smith, aged 36, a labourer, was admitted November 4th, 1898, complaining of “ pain in the chest.” From boyhood till the age of twenty-six he served as a hand on a fishing smack. Since then he has worked as a rough labourer, doing heavy lifting. For seventeen years he has served his time in the Militia Artillery, ‘f lifting guns.” Was in bed with rheumatism for seventeen weeks at the age of twenty-two. Had some swellings in the groins once, but no syphilis. Often drunk, and smoked half an ounce of shag daily. Family history.—Father died of consumption aged twenty-eight. Present illness.—Began in April, 1898, with pain behind the sternum, which came on when he ceased working, and lasted till he settled to work again, and “ warmed to his work.” In September the pain became worse, and spread over the right upper chest to the scapula, and ran down the right arm as far as the internal condyle. He had to give up work and go to bed for four days. The pain continued to get worse, and was least felt whilst doing manual labour. During October, 1898, he had a cough. State on admission (November 5th).—Patient pre- sented all the signs of an aneurysm projecting forwards