Notes on the surgical treatment of aortic aneurism : being in part a reprint of some papers in the Lancet on the same subject published in the years 1869 and 1872 / by John Cockle.

Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Notes on the surgical treatment of aortic aneurism : being in part a reprint of some papers in the Lancet on the same subject published in the years 1869 and 1872 / by John Cockle. Source: Wellcome Collection.

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

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    seen (not from incompetence of the valves, though eventually, from the progress of disease, secondary insufficiency may occur), but it results from the loss of resiliency of the aorta, and the regurgitation of blood in the vessels springing from the arch to obviate the tendency to vacuum. This dilatation and loss of elasticity of the aorta, without any necessary valvular incompetence, may be at times attended with severe and even dangerous symptoms. This latter point is briefly referred to as worthy our serious consideration, and not as possessing any degree of novelty. It is a condition with which the cardiac pathologists of the last century were familiar, and in our own time has been specially referred to by Dubreuil and the late Dr. Bellingham, of Dublin,^ From time to time a few cases of this form of disease have been published by me, and quite lately another case has come under my notice, which I shall briefly relate. Mary P , aged forty-eight, married, and mother of a large family, was admitted under my care at the BoyalFree Hospital, on September 29th, 1868. With the exception of occasional attacks resembling those of rheumatic gout (to which complaint she inherits a dis- position), she had tolerably good health up to the period of the complaint she now suffers from. The only commemoratives of importance are the sudden death of both mother and grandfather from disease of the heart. About six or seven years ago she first felt a sensation of throbbing in the hollow of the throat, ^ Diseases of the Hearty Part ii, p. 573.