Four cases of aneurism of the arch of the aorta, and a case of diaphragmatic hernia / by John Reid.
- John Reid
- Date:
- [1840]
Licence: Public Domain Mark
Credit: Four cases of aneurism of the arch of the aorta, and a case of diaphragmatic hernia / by John Reid. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![irregular on the inner surface. Liver rather larger than usual, and granulated on the surface; and the cut surfaces presented a highly mottled appearance. The kidneys were slightly mottled by yel- low deposit in the cortical portion; stomach much congested in the splenic extremity. Brain healthy. From the appearance of the communication between the aneu- rism and the pulmonary artery in this case forming a narrow rag- ged fissure, it is probable that the pulmonary artery had given Avay a few hours before death; and at this time the dyspnoea had become suddenly increased, with augmented lividity of the face. Case IIL—Aneurism of the Aorta communicating with the Pulmonary Artery.—G. F. aged 60, was brought in a mori- bund state into the Clinical Ward under the charge of Pro- fessor Graham, and died shortly after admission. No accurate account of the previous history of this patient could be obtained ; but it appears that he had been seen by a physician in his own house a month before he was brought to the infirmary; and he thei) evidently laboured under hypertrophy of the left side of heart, and had considerable dyspnoea. Sectio Cadaveris 36 hours after death.—Some serous effu- sion in the cavity of the paricardium. The right side of heart was distended Avith clots of blood, chiefly decolorized. The ca- vity of the left ventricle was considerably enlarged, Avith hyper- trophy of its walls, and its apex ])rojected an inch at least beyond that of the right ventricle. The lips of the mitral valve contained some thickened and hard spots at their fixed margins; but they were not shortened, and the auriculo-ventriculo opening was liot dilated. Several soft irregular warty excrescences adhered to part of the inner surface of the posterior and left semilunar aortic valves, and prevented their close approximation, though the valves them- selves were not shortened. A few small warty excrescences were also attached to the aortic tendinous ring, immediately below the fixed margins of the semilunar valves. The ascending portion of the arch of the aorta was somewhat dilated, and presented nume- rous yellowish and slightly elevated spots on its inner surface. Thepartof the aorta from which the brachio-cephalic arteries arose, was nearly of its usual size, while it became suddenly dilated to about three times its usual calibre immediately beyond the origin of the left subclavian, and again assumed its natural size about an inch above the point where it passes behind the diaphragm. From the upper and right side of this dilated part of the descending portion of the arch, small infundibuliform ancurismatic pouch, rather more than an inch in length, projected forwards and to tho](https://iiif.wellcomecollection.org/image/b22274741_0007.jp2/full/800%2C/0/default.jpg)
