Clinical lectures on the principles and practice of medicine . unds underwent different modifications, followed by cardiachypertrophy, he died, and on dissection, the conjoined attachments oftwo of the valves to the aorta were found to be separated from the wallof that vessel, so that they dropped below the level of the third, whichretained its connections (Fig. 436). Cases of this kind would perhapsbe more frequently observed, if the origin of valvular diseases were morecarefully looked for. Exudation into or on the surface of the valves, constituting the endo-carditis of systematic writers,
Clinical lectures on the principles and practice of medicine . unds underwent different modifications, followed by cardiachypertrophy, he died, and on dissection, the conjoined attachments oftwo of the valves to the aorta were found to be separated from the wallof that vessel, so that they dropped below the level of the third, whichretained its connections (Fig. 436). Cases of this kind would perhapsbe more frequently observed, if the origin of valvular diseases were morecarefully looked for. Exudation into or on the surface of the valves, constituting the endo-carditis of systematic writers, is a common cause of valvular disease. Ifacute, it may appear in the form of minute granulations, or forming alayer, varying in thickness and shape, on the surfaces or on the edges ofthe valves. If chronic, they are firm, and not unfrequently associatedwith an exudation which has also occurred in the texture of the valveitself, causing more or less thickening or induration in its various the same manner the chordse tendineae may become thickened and. Fig. 437. Fig. 438. shortened from interstitial exudation. As a result, the edges of thevalves do not come into accurate contact, and become incompetent tofulfil their functions. After a time, in consequence of excess of exuda-
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
