. Modern surgery, general and operative. blood-pressure, by consolidating tissue,forming a sac of junction (varicose aneurysm, Fig. 230). Wounds producedby small pointed bullets not infrequently result in arteriovenous of 102 cases of war aneurysm reported by Bier 56 were arteriovenous{Internat. Abstract of Surgery, Oct., 1915). Aneurysmal varix is a less grave 494 Diseases and Injuries of the Heart and Vessels disorder than varicose aneurysm. Arteriovenous aneurysm used to be mostfrequent at the bend of the elbow, the vessels being injured during condition may occ
. Modern surgery, general and operative. blood-pressure, by consolidating tissue,forming a sac of junction (varicose aneurysm, Fig. 230). Wounds producedby small pointed bullets not infrequently result in arteriovenous of 102 cases of war aneurysm reported by Bier 56 were arteriovenous{Internat. Abstract of Surgery, Oct., 1915). Aneurysmal varix is a less grave 494 Diseases and Injuries of the Heart and Vessels disorder than varicose aneurysm. Arteriovenous aneurysm used to be mostfrequent at the bend of the elbow, the vessels being injured during condition may occur in the neck, the axilla, the extremities, or the assisted Professor Keen in an operation upon an aneurysmal varix of the com-mon carotid and internal jugular vein, and assisted Professor Hearn in operatingon a varicose aneurysm involving the external iliac vessels. Qucnu operated onan arteriovenous aneurysm of the common carotid artery and jugular veinand collected 17 cases from literature. Sir Frederick Treves operated on a. Fig, 228.—Dilatation of veins in arteriovenous aneurjsm of the femoral vessels. case involving the internal maxillary vessels. Very rarely an arteriovenousaneurysm forms spontaneously. Spontaneous arteriovenous aneurysm ismost frequent between the aorta and vena cava. There is no tendency tospontaneous cure in arteriovenous aneurysm. Edema is the rule, muscularatrophy is common, ulceration or even gangrene of a hmb may occur. In ar-teriovenous aneurysm the artery on the proximal side of the fistula dilates. Inmany reported cases the condition of the artery has not been noted. Halsted has
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