A Brief History of Aortic Aneurysm Surgery

AORTA

article

Denton A. Cooley¹ 

[1] Dr. Cooley is Surgeon-in-Chief and President Emeritus of the Texas Heart Institute at St. Luke's Episcopal Hospital in Houston

关键词: Aorta;    Aortic disease;    Aneurysm;    Medical history;   

DOI  :  10.12945/j.aorta.2013.12.006

来源: Thieme

【 摘 要 】

For centuries, aortic disease has been a major problem of mankind. Hieroglyphic texts from ancient Egypt attest to the presence of aortic aneurysms millennia before the birth of Christ. Although no medical solution for aneurysms was available in that era, the advice allegedly given for the care of affected patients was a passionate plea, which simply stated, “Do not abandon them.” As medical history reveals, the treatment of aortic aneurysms did not progress significantly until modern times. Most measures used to control these lesions were attempts to relieve pain and forestall inevitable rupture. Efforts to promote thrombosis by introducing foreign bodies, such as wire and other substances, were sometimes successful but more often ineffective. Other efforts were aimed at strengthening or reinforcing the wall of the aneurysm to retard its growth. Many different measures were tried, but their success was limited. A major advance took place in 1888, when Rudolph Matas reported an internal repair technique known as endoaneurysmorrhaphy for treating arterial lesions. In this approach, he excised the clot from the aneurysmal sac and sutured the orifices of the arteries that entered the sac, from within, reestablishing continuous blood flow.

【 授权许可】

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