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ANEURYSM, or ANEURISM (from Gr. avebp...

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Originally appearing in Volume V02, Page 4 of the 1911 Encyclopedia Britannica.
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ANEURYSM, or ANEURISM (from Gr. avebpuvµa, a See also:dilatation)  , a cavity or See also:sac which communicates with the interior of an artery and contains See also:blood . The walls of the cavity are formed either of the dilated artery or of the tissues around that See also:vessel . The See also:dilatation of the artery is due to a See also:local weakness, the result of disease or injury . The commonest cause is chronic inflammation of the inner coats of the artery . The breaking of a See also:bottle or See also:glass in the See also:hand is See also:apt to cut through the outermost coat of the artery at the See also:wrist (radial) and thus to cause a local weakening of the See also:tube which is gradually followed by dilatation . Also when an artery is wounded and the See also:wound in the skin and superficial structures heals, the blood may See also:escape into the tissues, displacing them, and by its pressure causing them to condense and See also:form the sac-See also:wall . The coats of an artery, when diseased, may be torn by a severe See also:strain, the blood escaping into the condensed tissues which thus form the aneurysmal sac . The See also:division of aneurysms into two classes, true and false, is unsatisfactory . On the See also:face of it, an See also:aneurysm which is false is not an aneurysm, any more than a false See also:bank-See also:note is legal See also:tender . A better See also:classification is into spontaneous and traumatic . The See also:man who has chronic inflammation of a large artery, the result, for instance, of See also:gout, arduous, straining See also:work, or See also:kidney-disease, and whose artery yields under cardiac pressure, has a spontaneous aneurysm; the barman or window-cleaner who has cut his radial artery, the soldier whose brachial or femoral artery has been bruised by a See also:rifle See also:bullet or grazed by a See also:bayonet, and the boy whose naked See also:foot is pierced by a See also:sharp See also:nail, are apt to be the subjects of traumatic aneurysm . In those aneurysms which are a saccular bulging on one See also:side of the artery the blood may be induced to coagulate, or may of itself See also:deposit layer upon layer of See also:pale See also:clot, until the sac is obliterated .

This laminar coagulation by See also:

constant additions gradually fills the aneurysmal cavity and the pulsation in the sac then ceases; contraction of the sac and its contents gradually takes See also:place and the aneurysm is cured . But in those aneurysms which are fusiform dilatations of the vessel there is but slight See also:chance of such cure, for the blood sweeps evenly through it without staying to deposit clot or laminated fibrine . In the treatment of aneurysm the aim is generally to See also:lower the blood pressure by See also:absolute See also:rest and moderated See also:diet, but a cure is rarely effected except by operation, which, fortunately, is now resorted to more promptly and securely than was previously the See also:case . Without trying the speculative and dangerous method of treatment by See also:compression, or the application of an indiarubber bandage, the surgeon now without loss of See also:time cuts down upon the See also:ANGEL artery, and applies an aseptic ligature See also:close above the dilatation . Experience has shown that this method possesses See also:great advantages, and that it has none of the disadvantages which were formerly supposed to attend it . Saccular dilatations of See also:arteries which are the result of cuts or other injuries are treated by tying the vessel above and below, and by dissecting out the aneurysm . Popliteal, See also:carotid and other aneurysms, which are not of traumatic origin, are sometimes dealt with on this See also:plan, which is the old " Method of Antyllus " with See also:modern aseptic conditions . Speaking generally, if an aneurysm can be dealt with surgically the sooner that the artery is tied the better . Less heroic See also:measures are too apt to prove painful, dangerous, ineffectual and disappointing . For aneurysm in the See also:chest or See also:abdomen (which cannot be dealt with by operation) the treatment may be tried of injecting a pure See also:solution of gelatine into the loose tissues of the armpit, so that the gelatine may find its way into the blood stream and increase the chance of curative coagulation in the distant aneurysmal sac . (E .

End of Article: ANEURYSM, or ANEURISM (from Gr. avebpuvµa, a dilatation)
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