Two remarkable cases of encephaloid disease of the heart; with observations / [Prescott Gardiner Hewett].

  • Hewett, Prescott (Prescott Gardiner), Sir, 1812 or 1813-1891.
Date:
1846]
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Licence: Public Domain Mark

Credit: Two remarkable cases of encephaloid disease of the heart; with observations / [Prescott Gardiner Hewett]. Source: Wellcome Collection.

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    rt great interest. In the first case, the patient underwent a most severe operation, without there being the slightest sus¬ picion of the disease of the heart, no symptom being present which could in any way lead one to suppose that this organ was so seriously affected : every thing went on as usual at such operations, and the only wonder is, that, under so severe a trial, the function of the central organ of circulation was not interfered with, and that the man did not die on the operating table. A case somewhat similar, in which the disease was, however, more extensive, is given by Cruveilhier,* but in this case the man died suddenly after a hearty meal. In the second case, the question naturally arises as to how long the carcinomatous affection of the heart had existed, and whether it existed at the time of the consultation of the surgeons. Such a deposit as that which was found on the mitral valve, in this case, might take place very rapidly, but as the patient did not present, until within a few hours of her death, any symptoms of disease of the heart, it is impossible to say when this disease began. The preparations illustrative of the two cases which form the subject of this paper, are in the Pathological Museum of St. George’s Hospital. * Anatomie Pathologique, liv, xxix. [From Transactions of the Medico-Chirurgical Society, Yol. xxx.j Printed by Richard Kinder, Green Arbour Court, Old Bailey,