Surgical Treatment of Arteriosclerotic Aneurysms of the Abdominal Aorta

Intrasaccular Wiring of Abdomixalarterio- Sclerotic Aortic Aneurysms By the "Pack" Method

“…It seems more likely that resection of the aneurysm with the insertion of a blood vessel graft or a plastic prosthesis may prove to be a more efficacious method providing the patient is seen early in the course of the disease. Another method of treatment has been attempted in a few cases with the purpose of increasing the strength of the aneurysmal sac by laying on the surface of it sheets of cellophane (9) or a cutis graft of skin (13). The inherent defect of these, however, is that it is impossible to completely encircle the aneurysmal sac posteriorly, the area where rupture most frequently occurs.…”

Aortic Aneurysm

“…At times, it was difficult to be certain that the symptoms were directly related to the presence of the aneurysm, rather than to an accompanying disease. Among these patients were 3 with ruptured aneurysm and prior symptoms for less than 1 Knowledge of the prognosis of these lesions is of the greatest importance in formulating a rational decision with regard to their treatment. It has generally been recognized that an aortic aneurysm constitutes a distinct threat to life.…”

Aneurysms: General Considerations

“…An analysis of the methods of wiring, wrapping with cellophane, partial constriction and their combinations has been given by one of us with Marshall (64) . Painting or spraying with one per cent dicetyl phosphate has also been considered ; slow constriction with laminaria has been suggested (Figs.…”