On atheroma and some of its consequences, with their treatment : an address delivered before the Cardiff Medical Society on February 21, 1895 / by T. Lauder Brunton.

  • Brunton, Thomas Lauder, Sir, 1844-1916.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: On atheroma and some of its consequences, with their treatment : an address delivered before the Cardiff Medical Society on February 21, 1895 / by T. Lauder Brunton. 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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    their presence evident to the auscultator’s ear by giving rise to a sharp whizzing murmur over the aorta, but may lead to the production of fibrinous clots by a process analogous to that of whipping blood after it has been shed. Along with atheroma it may be advisable to take endarteritis obliterans, which is prac- tically atheroma in the smaller vessels, and consists, like it, in a thickening of the internal coat, though possibly with less Fig. 2. Position of murmur. Diagram to show the usual position of the murmur which indicates atheroma of the aorta. It is generally heard best over the right half of the sternum, opposite the second rib or first intercostal space, but it may be lower down or higher up. It is sometimes very limited, but is frequently transmitted upwards along the innominate, while an anaemic murmur is transmitted usually horizontally to the left. deposit between the internal and middle coats than what we find in atheroma of the larger arteries. I shall therefore class it along with atheroma, and use this term as more convenient when talking both of the affections of the large and of the minute arteries. The consequences of atheroma will differ according to the size of the artery affected and the extent and nature of the affection. Atheroma of the aorta may not only weaken the coats of the vessel and give rise to the formation of aneurysm, but may affect both the heart and nerve centres in other ways. Atheromatous thickening close to the aortic orifice will tend to lessen the calibre of the coronary arteries, and at the same time render them rigid and unyielding. Should an atheromatous