. Medical and surgical report of the Roosevelt Hospital, New York. n recurred withmarked severity; physical examination revealed a large heart withloud musical systolic and diastolic murmurs heard over thrill and diastolic shock were present. 198 ANEURYSM OF THE THORACIC AORTA Patient became very dyspnoeic, cyanotic, restless, hungry forair. Pulses were rapid and of poor quality. An asphyxia deathensued. Autopsy revealed the large aneurysm seen in the accom-panying photographs (Figs. XXX and XXXI). A coil of severalfeet of silver wire was found free in the aneurysmal sac an


. Medical and surgical report of the Roosevelt Hospital, New York. n recurred withmarked severity; physical examination revealed a large heart withloud musical systolic and diastolic murmurs heard over thrill and diastolic shock were present. 198 ANEURYSM OF THE THORACIC AORTA Patient became very dyspnoeic, cyanotic, restless, hungry forair. Pulses were rapid and of poor quality. An asphyxia deathensued. Autopsy revealed the large aneurysm seen in the accom-panying photographs (Figs. XXX and XXXI). A coil of severalfeet of silver wire was found free in the aneurysmal sac and ascendingportion of the arch. One strand extended through the arch and was fused to the wallof the descending portion. The greater portion of the wire lay inthe ascending portion of the arch. The wall of the sac was extremelythin and lined with a dense deposit of fibrin. Fibrin was abundanton the wall of the sac, but not deposited about the free portion ofthe wire. I wish to thank Doctor Jackson for his assistance andfor the privilege of reporting these Fig. XXX. Aneurysm of arch of aorta.


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Keywords: ., boo, bookcentury1900, bookdecade1910, booksubjectclinicalmedicine