The surgery of the heart and lungs : a history and résumé of surgical conditions found therein, and experimental and clinical research in man and lower animals, with reference to pneumonotomy, pneumonectomy and bronchotomy, cardiotomy and cardiorrhaphy.

  • Ricketts, B. Merrill (Benjamin Merrill), 1858-1926.
Date:
1904
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Licence: Public Domain Mark

Credit: The surgery of the heart and lungs : a history and résumé of surgical conditions found therein, and experimental and clinical research in man and lower animals, with reference to pneumonotomy, pneumonectomy and bronchotomy, cardiotomy and cardiorrhaphy. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    CHAPTER VI CARDIOCLASIA Etiology—Rupture of the heart may be due to injury or disease or both. Disease is conducive to traumatic rupt- ure, and rupture may occur without trauma at any time in disease. Fatty degeneration is the most frequent cause in advanced life, two-thirds being beyond sixty years of age, the proportion being about the same in each sex. It may be complete or incomplete and the opening of any size, single or multiple, which may or may not com- municate with each other. The fissures are usually parallel to the muscular fasciculi, unless abscess be present, when the opening may be of a perforating character. The edges are irregular and materially aid in the formation of clots, which have frequently been found in the opening. George II. and the Princess of Brunswick each succumbed to rupture of the heart. Historical (i 758-1903).—Townsend (1832) found in twen- ty-five cases of rupture of the heart that three were of the right ventricle. Bayle found in nineteen cases that three were of the right ventricle. Reports of rupture of the va- rious chambers of the heart indicate that the left ventricular wall is most frequently involved, spontaneously or by trau- matic influence. Portal (1788) cites a death due to spontaneous rupture of the left ventricle. Matt (1815) states that the death of a young woman was due to rupture of the left ventricle; veri- fied by autopsy.