Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis.

Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    albmninuvia. There was a loud murmur and fremitus V.S. near second right costal cartilage. Spleen was much enlarged. [Paili. Rep., Dec. 26, 1873.] 118. Aneurisms situated just above the aortic valves. There are here two aneurisms—a larger one situated in front and a smaller one to the right; the former is about the size of an apple, and lies between the aorta and pulmonary artery. It is bounded to the left by the left auricle, and is free towards, the right. It communicates with the aorta by an aperture with rounded edges which is large enough to admit two fingers, and is situated just above the valve 5 its lower border, in fact, corresponding with the level of the valves, and having two of the curtains ending on it. The other aneurism is much smaller, and lies immediately to the right of this one, being situated between it and the right auricular appendage. It forms a small hemispherical bulging. Both the arch and the thoracic aorta presented well-marked atheroma. The heart was very much enlarged, weighing 17 oz., and there were patches oi thickened endocardium, without any definite valvular disease. There was general oedema, with pleuritic and pericardial effusion, and oedema of the lungs, with hemorrhagic condensation. According to the history, the illness was of six months' duration, and Avas accompamed by pain, cough, and dyspnoea, and latterly orthopnoea. The patient was a blacksmith aged forty. . [Path. Rep., Jan. 13, 1874.] ] 10. Acute endocarditis affecting aortic valves, and causmg almost complete disorganization of the curtains. The valvular structures are 'in great part replaced by prominent, soft, irregular masses, one of which sends a tongue-shaped projection for about an inch into the aorta. In the neighbourhood there is some ulceration of the endocardmm of the ventricle. Both ventricles were found _ very considerably enlarged, and the auriculo - ventricular orifices dilated. [Path. Rep., Sept. 15, 1873.] 120. Contraction of mitral orifice, vegetations on borders. As seen in the preparation the mitral orifice is very much contracted, and this both by old and recent lesions. lip^'e is the common funnel-shaped contraction, due to adhesion of the proximate borders of the valves, from chronic endocarditis, the orifice at the apex of the funnel being hardly large enough to admit the tip of the finger. But in addition to this the orfice is fringed with warty pro- ieclions, wliich arc soft and somewliat loose, and arc evidently the results of acute endocarditis. By these the orifice is still further reduced to very small dimensions.