Catalogue of the Pathological Museum / compiled by J. Coats.

  • Western Infirmary, Glasgow.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum / compiled by J. Coats. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    35/266 (page 25)
    25. Retraction of Aortic Curtains, Peculiar Deformity of Mitral and Tricuspid Valves. {Dr. W. T. Gairdner?) The aortic curtains are markedly shortened and thickened so as to present the appearance ot crescentic elevations, and, before opening the vessel, the valve was found alisolutely incompetent. The left ventricle was greatly liypertrophied. The mitral and tricuspid valves present a much more mem- branous appearance than normal. They form an almost con- tinuous diaphragm, composed of comparatively soft membrane without much thickening, to the edges of which the chordae tendine* are attached. The oritices are at the apices of these diaphi'agms, but although somewhat contracted are not greatly so, the mitral admitting one finger very freely, and the tricuspid three. The pericardium was completely adherent. The case was that of a man, aged 29. Signs of acute peri- carditis were present 18 months before death. These subsided but left signs and symptoms of aortic regurgitation, which had been present along with the pericarditis. Latterly, the usual symptoms of severe cardiac disease supervened. Path. Reports, 4th May, 1882. No. 810. 26. Aortic Valvular Disease, Tear of Valve, Aneurism beneath Valve. {Dr. W. T. Gairdner.) The curtains of the aortic valve are considerably thickened and their edtjes coalesced. There is no coalescence between the posterior and right semilunar folds, but instead of that a space of about an eighth of an inch. In the neighbourhood of this space both curtains show abundant shaggy prominences. In the half of the posterior curtain next this space there is a deep tear, extending from its edge nearly to its middle, and of such a character as to make of the marginal part of the curtain a flap, on which are rough projections like those just referred to. Immediately beneath the apcrtu]e between the two curtains, there is the rounded aperture of an aneurism ^ of an inch in diameter, the borders of the apei-ture being partly formed by the proximal curtains. The aneurism projects backwards for a distance of about f of an inch, lying behind or in the aortic wall in a position corresponding with the pouch of the posterior curtain. The aneurism can l)e seen externally as a prominence somewhat elongated from side to side at the base of the aorta, between it and the right auricle, near the septum. The aperture is immediately above the undefended space, although separated from it by a distinct rido-e of firm tissue. The internal wall of the aorta, corres- ponding with the position of the aneurism, presents a transverse