Word: clot
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Dates: during 1930-1939
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Recently Sir Thomas Lewis, eminent London heart specialist, made a special study of how an arm or leg dies when an embolus (floating clot) plugs a main artery which feeds blood to that limb. Competent heart specialists and surgeons generally see such blood-starved limbs too late to save them from gangrene and amputation. Last week, by chance, a Chicago doctor, Geza deTakats, in the American Journal of Surgery, and a Toronto doctor, Donald Walton Gordon Murray, in the Canadian Medical Association Journal, each gave explicit directions for locating such a destructive clot, removing it by surgery, thus saving...
...embolectomy is performed within ten hours after the clot cuts off circulation in a limb, Dr. deTakats finds that 40% of the cases will recover the use of the member. Operations done in the second ten-hour period will be successful in 14% of the cases; in the third ten-hour period, 8%. Dr. deTakats: "Embolectomy is futile after 48 hours or even before that if there is a manifest gangrene, or on patients in whom the underlying disease is apt to be fatal shortly, as in septic endocarditis or terminal cardiac decompensation." Dr. Murray: "There are few operations...
...patient usually has heart disease or may have recently undergone a major operation. A blood clot (thrombus) breaks loose from its anchorage, floats with the blood stream until it gets stuck in an artery. Most frequent sites of this plugging are the common femoral artery in the groin (39%) and the common iliac artery in the lower abdomen (15%). Embolus here stops circulation in the entire leg and foot. Other frequent sites for emboli are the brachial artery in the elbow, affecting the forearm and hand; the popliteal (10%), affecting the lower leg and foot; the aorta, affecting the entire...
...standing in talk with a friend, or sitting with a magazine. Suddenly a look of surprise and terror wells into his face. He clutches at his heart, droops, collapses, in a few minutes is dead. "Heart failure," announces the ambulance doctor. "Coronary thrombosis," reports the autopsist. "A blood clot clogged one of the principal blood vessels of the heart muscle and caused it to fail," explains the family doctor. Not every victim of a heart attack dies instanter. But doctors almost universally are pessimistic about a heart victim living long thereafter. And the survivors live in continual apprehension...
Last week Dr. Jackson and many another bronchoscopist were in Denver for a convention of the American Laryngological (throat), Rhinological (nose) & Otological (ear) Society. There Dr. Samuel Iglauer of Cincinnati told about a rare case of collapse of a lung caused by a blood clot plugging a bronchial tube. Dr. Iglauer, professor of otolaryngology in the University of Cincinnati, slipped a bronchoscope into the lung, extracted the clot, enabled the lung to function again...