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Arteriovenous aneurysm following surgical operations
SELECTED
805
ABSTRACTS
P, higher than The electrocardiographic changes were: in VW: absence of Qi; presence of Si and Q3; small R wave in V5; T inverted, flat or diphasic in Leads II, III, Vr, Vi, V2, The above changes were attributed to dilatation and ventricle.
Pr; P wave inverted V:, V4, VS, Vc; deep and VL. hypertrophy of the
in V, but upright S wave in Vr and right
auricle
and
LUISADA.
Elkin,
D. tions.
C.,
Arteriovenous and Banner, E. A.: J. A. M. A. 131: 1117 (Aug. 3), 1946.
Aneurysm
Following
Surgical
Opera-
This case was reported because of its rarity. The authors have not encountered a similar instance in the literature. Must of the cases of arteriovenous fistula which have been presented in the literature have arisen as a result of war wounds or from injuries incurred in civilian life. In this report, the authors described a case in which this lesion was produced during a surgical operation, hysterectomy. The most likely explanation of this occurrence is that in translixing and ligating blood vessels the needle used for this purpose injured the artery and vein at the same time, with the subsequent production of a communication between them. Following the removal of the arteriovenous fistula, the patient made an uneventfu! recovery. RELLET.
Dock,
The Predilection W.: 131: 875 (July 13), 1946.
of Atherosclerosis
for
the
Coronary
Arteries.
J. A.
M.
A.
In this article, Dock makes two points: (1) that arteriosclerotic changes frequently occur earlier in the coronary vessels than in other vessels and (2) that coronary artery disease is more frequent in men than in women, especially before the seventh decade. From a study of hundreds of soldiers who died of coronary disease, it was apparent that cases of coronary disease without tibial, cerebral, or aortic lesions, which are exceptional after the sixth decade, are the rule in men under 40 years. Coronary thrombosis is not only much more frequent, but also often occurs as a result of a purely local atheromatosis. In those hearts examined at necropsy it was noted that while most of the vessels were relatively free of atheroma, many of them had unusually thick intimal layers at places in the coronaries where no lipoid had yet been deposited and where there was no inflammatory reaction. Although Spalteholz, Gross, and others mention the remarkable thickness of the coronar) intima, as compared with that of the radial, tibial, cerebral, or visceral arteries, this observation has been ignored by most pathologists and clinicians. No satisfactory explanation of the increased susceptibility of the coronary arteries to atheroma has been thus far advanced. Dock was unable to explain the higher incidence of coronary disease in men as compared with women from the level of the blood cholesterol or the height of the arterial pressure. In the examination of hearts of young adults killed in accidents, Dock observecl a striking difference in the thickness of the coronary arteries in the two sexes. The men had thicker intimas: coronary arteries of boys no more than 18 years of age often had atheromas in them. In addition, sections were made of the right coronary artery, the left circumflex branch, and left descending branch of twelve infants of each sex who died less than twenty-four hours after birth. He observed in these specimens that the thickness of the coronary intima in male infants was about three times that in female infants. He believes, therefore, that the sex differences in coronary disease and, to some extent, the familial differences in incidence seem to rest on an anatomic basis. hLLET.
Hinton, J. W., and Lord, ing Thoracxrlumbar Med. 46: 1714 (Aug.),
Jr.. J. W.: Sympathectomy 1946.
Analysis for
of Surgical Essential
Failures and Hypertension.
Fatalities FollowN. Y. State J.
Although thoracolumbar sympathectomy has a definite place in the treatment of essential hypertension, there is no test or series of tests by which we can measure the chance for a successful result. In order to justify such a procedure, the surgeon must offer a much greater life expectancy
805
ABSTRACTS
P, higher than The electrocardiographic changes were: in VW: absence of Qi; presence of Si and Q3; small R wave in V5; T inverted, flat or diphasic in Leads II, III, Vr, Vi, V2, The above changes were attributed to dilatation and ventricle.
Pr; P wave inverted V:, V4, VS, Vc; deep and VL. hypertrophy of the
in V, but upright S wave in Vr and right
auricle
and
LUISADA.
Elkin,
D. tions.
C.,
Arteriovenous and Banner, E. A.: J. A. M. A. 131: 1117 (Aug. 3), 1946.
Aneurysm
Following
Surgical
Opera-
This case was reported because of its rarity. The authors have not encountered a similar instance in the literature. Must of the cases of arteriovenous fistula which have been presented in the literature have arisen as a result of war wounds or from injuries incurred in civilian life. In this report, the authors described a case in which this lesion was produced during a surgical operation, hysterectomy. The most likely explanation of this occurrence is that in translixing and ligating blood vessels the needle used for this purpose injured the artery and vein at the same time, with the subsequent production of a communication between them. Following the removal of the arteriovenous fistula, the patient made an uneventfu! recovery. RELLET.
Dock,
The Predilection W.: 131: 875 (July 13), 1946.
of Atherosclerosis
for
the
Coronary
Arteries.
J. A.
M.
A.
In this article, Dock makes two points: (1) that arteriosclerotic changes frequently occur earlier in the coronary vessels than in other vessels and (2) that coronary artery disease is more frequent in men than in women, especially before the seventh decade. From a study of hundreds of soldiers who died of coronary disease, it was apparent that cases of coronary disease without tibial, cerebral, or aortic lesions, which are exceptional after the sixth decade, are the rule in men under 40 years. Coronary thrombosis is not only much more frequent, but also often occurs as a result of a purely local atheromatosis. In those hearts examined at necropsy it was noted that while most of the vessels were relatively free of atheroma, many of them had unusually thick intimal layers at places in the coronaries where no lipoid had yet been deposited and where there was no inflammatory reaction. Although Spalteholz, Gross, and others mention the remarkable thickness of the coronar) intima, as compared with that of the radial, tibial, cerebral, or visceral arteries, this observation has been ignored by most pathologists and clinicians. No satisfactory explanation of the increased susceptibility of the coronary arteries to atheroma has been thus far advanced. Dock was unable to explain the higher incidence of coronary disease in men as compared with women from the level of the blood cholesterol or the height of the arterial pressure. In the examination of hearts of young adults killed in accidents, Dock observecl a striking difference in the thickness of the coronary arteries in the two sexes. The men had thicker intimas: coronary arteries of boys no more than 18 years of age often had atheromas in them. In addition, sections were made of the right coronary artery, the left circumflex branch, and left descending branch of twelve infants of each sex who died less than twenty-four hours after birth. He observed in these specimens that the thickness of the coronary intima in male infants was about three times that in female infants. He believes, therefore, that the sex differences in coronary disease and, to some extent, the familial differences in incidence seem to rest on an anatomic basis. hLLET.
Hinton, J. W., and Lord, ing Thoracxrlumbar Med. 46: 1714 (Aug.),
Jr.. J. W.: Sympathectomy 1946.
Analysis for
of Surgical Essential
Failures and Hypertension.
Fatalities FollowN. Y. State J.
Although thoracolumbar sympathectomy has a definite place in the treatment of essential hypertension, there is no test or series of tests by which we can measure the chance for a successful result. In order to justify such a procedure, the surgeon must offer a much greater life expectancy