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Updated: May 25, 2025
Apoplexy, organic heart disorders, aneurysms, and other like disorders are in such cases generally the direct cause of death, coitus causing the death indirectly by the excitement and exertion accompanying the act.
So the frigate kept well out when passing the Tuamotu, Marquesas, and Hawaiian Islands, then cut the Tropic of Cancer at longitude 132 degrees and headed for the seas of China. We were finally in the area of the monster's latest antics! And in all honesty, shipboard conditions became life-threatening. Hearts were pounding hideously, gearing up for futures full of incurable aneurysms.
Aneurysms of the vessels of the #forearm and hand# call for no special mention; they are almost invariably traumatic, and are treated by excision of the sac. Aneurysms appearing in the region of Poupart's ligament may have their origin in the external or common iliac arteries or in the upper part of the femoral.
If ligation is found to be impracticable, the Moore-Corradi method or Macewen's needling may be tried. #Carotid Aneurysms.# Aneurysm of the common carotid is more frequent on the right than on the left side, and is usually situated either at the root of the neck or near the bifurcation. It is the aneurysm most frequently met with in women.
He became an active practitioner, a distinguished surgeon, much consulted by his colleagues, and there are references to many of his cases, the most important of which are to internal aneurysms, which he was one of the first to recognize. In 1555 he brought out the second edition of the "Fabrica," an even more sumptuous volume than the first. Epistle on China-root, 1546, p. 196.
Proximal ligation in the case of high aneurysms, or distal ligation in those situated at the root of the neck, is more certain. Extirpation of the sac is probably the best method of treatment, especially in those of traumatic origin. These operations are attended with considerable risk of hemiplegia from interference with the blood supply of the brain.
There are cases on record where rapidly growing sarcomatous and angiomatous tumours, aneurysms, and the bruises that occur in hæmophylics, have been mistaken for acute abscesses and incised, with disastrous results. #Treatment of Acute Abscesses.# The dictum of John Bell, "Where there is pus, let it out," summarises the treatment of abscess.
In those aneurysms which are a saccular bulging on one side of the artery the blood may be induced to coagulate, or may of itself deposit layer upon layer of pale clot, until the sac is obliterated.
At this stage the heart, which has already shown some trouble, becomes unable to force the blood properly against this enormous resistance of inelastic vessels and the blood pressure begins to fail as the left ventricle weakens. Edema, failing heart, perhaps aneurysms, peripheral obstruction, or hemorrhages are the final conditions in this chronic disease of arteriosclerosis.
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