On diseases of the heart and great vessels .. / by Henry William Fuller.

  • Fuller, Henry William, -1873.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: On diseases of the heart and great vessels .. / by Henry William Fuller. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    of the lung being concave to receive it. A portion of the right auricle and the superior angle of the right ventricle lie close to the sternum, between the third and the fifth ribs. On the left side, the lung lies in front down to about the fourth sterno-costal articulation; thence its anterior border passes downwards and outwards (leaving an open space for the heart), until it reaches the fifth rib, when it curves forwards and downwards to opposite the sixth rib or interspace, and thence passes outwards almost horizontally. The open space where the heart, so to speak, comes in contact with the chest is usually about an inch and a half or two square inches in ex- tent. The left auricle and ventricle, and a portion of the right ventricle towards the apex, are found in the left mammary region. The apex lies immediately above the sixth costal cartilage. The fissure which separates the two lobes of the left lung usually commences about the fifth interspace. The infra-mammary on the right side contains the liver, with the lung protruding in front, on full inspiration; on the left, the ante- rior border of the spleen, and the stomach, with a portion of the left lobe of the liver, lying in front of it, towards the mesian line. The stomach usually rises to a level with the sixth rib. The stipra-sternal is occupied chiefly by the trachea; but on the right side is the arteria innominata. The arch of the aorta sometimes reaches to its lower border, and may be felt pulsating there, on deep pressure. In the superior sternal, the lung lies in front, and immediately be- hind it are the ascending and transverse portions of the arch of the aorta and the pulmonary artery, from its origin to its bifur- cation. The pulmonary valves are situated close to the left edge of the sternum, on a level with the lower margin of the third rib; the aortic about half an inch lower down, more deeply seated, and midway between the mesian line and the left edge of the sternum. The trachea bifurcates on a level with the second ribs. The inferior sternal has lung in front on the right side throughout its whole extent, and on the left down to about the fourth sterno-costal articulation. Below this, on the left side, lies the chief part of the right ventricle of the heart, and a small portion of the left ventricle. The mitral valve is situated close to the
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