On malformations of the human heart, etc : With original cases and illustrations / by Thomas B. Peacock.

  • Thomas Bevill Peacock
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On malformations of the human heart, etc : With original cases and illustrations / by Thomas B. Peacock. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    Dr. Pulteney,^ which had occurred in ]78], and appears to have been commnnicated to the College of Physicians before the publication of Dr. Hunter^s paper. The patient was a boy who died of acute dysentery at the age of thirteen years and nine months. The symptoms which he presented were similar to those in the two former cases, and he was especially remarkable for the darkness of his face and hands, and his liability to faintness on exertion. The period at which these symptoms first appeared is not mentioned. The ring of the pulmonary artery was much smaller and firmer than usual; and the septum of the ventricles was defective^ so that the end of the finger could be passed from the aorta into either ventricle. The foramen ovale was most probably closed. In 1793, Mr. Abernethy^ related an example of this form of malformation, in which, however, the child died when only two years old. The symptoms, as in the case of Dr. Hunter, appeared shortly after birth. The pulmonary artery was of small size; the aorta arose from the right ventricle; the septum cordis was imperfect, and the foramen ovale was largely open. In 1785, the history of a similar case was communicated to Dr. Duncan^ by Dr. Nevin of Downpatrick. The child which was the subject of the malformation presented no peculiarity till nearly two months after birth; it then had oppression of the chest, difficulty of breathing, and lividity. The symptoms became more marked when it was four months old, and it died at the age of ten months. The aorta at its commencement was large, and it was connected equally with both ventricles. The pulmonary valves were adherent together and ossified at their bases, and the artery was contracted. The foramen ovale would admit a large probe, but the ductus arteriosus was impervious. The case occurred at Glasgow, and the specimen is said by Mr. Burns to be contained in Dr. 1 Med. Trans, of College of Phys., vol. iii. 1785, p. 339. 2 Med. and Surg. Rev., vol. i. 1795, p. 25 ; and Surg. Essays, 1793, vol. ii. p. 157. ^ Duncan's Medical Commentaries, Edinburgh, vol. xix. 1795, p. 325.
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