A History of Science — Volume 4Williams, Henry Smith
History
A History of Science — Volume 4
Williams, Henry Smith
Science -- History
What led to Hunter's far-reaching discovery was his investigation as to
the cause of the growth of the antlers of the deer. Wishing to ascertain
just what part the blood-supply on the opposite sides of the neck played
in the process of development, or, perhaps more correctly, to see what
effect cutting off the main blood-supply would have, Hunter had one of
the deer of Richmond Park caught and tied, while he placed a ligature
around one of the carotid arteries--one of the two principal arteries
that supply the head with blood. He observed that shortly after this the
antler (which was only half grown and consequently very vascular) on the
side of the obliterated artery became cold to the touch--from the lack
of warmth-giving blood. There was nothing unexpected in this, and Hunter
thought nothing of it until a few days later, when he found, to his
surprise, that the antler had become as warm as its fellow, and was
apparently increasing in size. Puzzled as to how this could be, and
suspecting that in some way his ligature around the artery had not been
effective, he ordered the deer killed, and on examination was astonished
to find that while his ligature had completely shut off the blood-supply
from the source of that carotid artery, the smaller arteries had become
enlarged so as to supply the antler with blood as well as ever, only by
a different route.
Hunter soon had a chance to make a practical application of the
knowledge thus acquired. This was a case of popliteal aneurism,
operations for which had heretofore proved pretty uniformly fatal. An
aneurism, as is generally understood, is an enlargement of a certain
part of an artery, this enlargement sometimes becoming of enormous size,
full of palpitating blood, and likely to rupture with fatal results at
any time. If by any means the blood can be allowed to remain quiet for
even a few hours in this aneurism it will form a clot, contract, and
finally be absorbed and disappear without any evil results. The problem
of keeping the blood quiet, with the heart continually driving it
through the vessel, is not a simple one, and in Hunter's time was
considered so insurmountable that some surgeons advocated amputation
of any member having an aneurism, while others cut down upon the tumor
itself and attempted to tie off the artery above and below. The first
of these operations maimed the patient for life, while the second was
likely to prove fatal.
Public-domain text, read in full here on John Shaqi.
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