Surgical treatment of aneurysms

Abstract

We wish to emphasize, the following: 1. 1. The surgical treatment of arterial aneurysm must be individualized. Of the operations, the anastomosing or obliteration procedures potentially are the best. Obliteration of the aortic aneurysm is possible if certain technical difficulties are overcome. 2. 2. Some arteriovenous aneurysms can be excised and anastomosed or the arterial defect sutured. In others quadrilateral ligation is not sufficient, but multiple resection of all the vessels involved in the process must be performed. 3. 3. Congenital arteriovenous aneurysms may be quiescent for years, then become active and, like cancer, prove very difficult to eradicate. Neologically, arterionia is suggested. 4. 4. A syndrome not emphasized before is presented. In this syndrome arteriovenous connections are misdiagnosed as varicose veins. This occurs in our practice in 25 per cent of those sent for advanced vein pathology. The syndrome of arterial varices can be diagnosed by attention to the features which have been pointed out. This syndrome should be suspected particularly if the veins are on the posterolateral or lateral aspect of the leg, if the patient is young, if there is increased local heart, and if the veins recur after adequate vein resection.