RESECTION OF AN ANEURYSM OF THE ABDOMINAL AORTA

Mr. Le G., aged 50 years, had an aneurysm of the abdominal aorta revealed by gross disturbances of function, predominantly in the left leg. Abdominal examination showed a large tumor in the left paraumbilical region, pulsating and expansile. The right femoral pulse was diminished and the left absent; oscillations were diminished on the right and absent on the left. One year before he had had a myocardial infarction. The blood Wassermann test was negative. The aortograph (Fig. 1) shows that the beginning of the aneurysm is just below the kidneys and that it extends as far as the bifurcation of the aorta. The left common iliac artery is blocked in its first 5 or 6 cm. The right common iliac artery, although patent, has at its origin two small aneurysmal dilatations. The superior mesenteric and renal arteries, perfectly delineated by the opaque medium, are clearly above the aneurysm. The inferior