. Diseases of the heart and thoracic aorta. face of the aorta corre-sponding to the affected valve was markedly atheromatous, the adjacentportions of the vessel being comparatively healthy ; the left ventriclewas enormously hypertrophied and dilated ; the mitral and tricuspidorifices dilated ; the heart weighed 45 ounces. The lungs containedseveral recent patches of pulmonary apoplexy ; there was great subcu-taneous dropsy and considerable effusion into all the serous cavities. The case is interesting from many points of \iew ; but space does notallow me to go into details further than to say,
. Diseases of the heart and thoracic aorta. face of the aorta corre-sponding to the affected valve was markedly atheromatous, the adjacentportions of the vessel being comparatively healthy ; the left ventriclewas enormously hypertrophied and dilated ; the mitral and tricuspidorifices dilated ; the heart weighed 45 ounces. The lungs containedseveral recent patches of pulmonary apoplexy ; there was great subcu-taneous dropsy and considerable effusion into all the serous cavities. The case is interesting from many points of \iew ; but space does notallow me to go into details further than to say, that it seems completelyto disprove Dr B. Fosters theory, that when the left posterior valvesegment is incompetent, the murmur, instead of being conducted downthe sternum is propagated towards the apex of the heart. The greatweig-ht of the heart must also be noted. 3. Acute Endocarditis.—Aortic incompetence is compara-tively rarely established during the acute stage of simpleendocarditis ; in the ulcerative form of endocarditis it is of. Fig. 208. Ulceration of one of the Aortic Cusps. {Natural size.) Tlie aortic segment corresponding to the posterior coronary artery is completely ulceratedthrough, a nipple-like process (a), the edges of which are perfectly smooth being all that remains;the- sinus of Valsalva corresponding to the affected cusp is dilated, and that portion of the aorta (6),which is situated above the affected valve is atheromatous, the other portions of the vessel (c),bMDg comparatively healthy.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectheart, bookyear1884
