Alfred Blalock, M.D.
JAMA. 1934;103(21):1617-1618. doi:10.1001/jama.1934.72750470001008.
Text Size: A A A
Published online

There has appeared in the literature only one report of the successful suture of a wound of the thoracic aorta. This operation was performed by Dshanelidze1 of Russia. The reasons for the scarcity of successful cases are several. For purposes of this discussion, the aorta is divided into two portions; namely, that part which is within the pericardium and that which is without. Piercing injuries of the extrapericardial portion of the thoracic aorta usually result in early death because there is no surrounding structure such as the pericardium to limit the loss of blood. The infrequency of wounds of the intrapericardial part of the aorta is due to its position behind the sternum and to the fact that it is quite short.

I have noted in studies on animals that relatively small wounds of the intrapericardial portion of the aorta are usually fatal unless treatment is instituted. A wound


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.