Aortic incompetence due to dilatation of the orifice without disease of the valves / by G. Newton Pitt.
- Pitt, G. Newton (George Newton), 1853-1929.
- Date:
- 1898
Licence: Public Domain Mark
Credit: Aortic incompetence due to dilatation of the orifice without disease of the valves / by G. Newton Pitt. 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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![Reprinted from the ‘ Transactions of the Pathological Society of London,’ 1898. Aortic incompetence due to dilatation of the orifice without disease of the valves. By G. Newton Pitt, M.D. [With Plate I, figs. 1 and 2,] CASE 1.—I have for many years past looked upon it as one of the accepted facts in pathology, that dilatation and yielding of the first portion of the aorta was capable of producing regurgi- tation through the aortic orifice, and that in such cases shrinkage and cicatricial contraction of the cusps was not an essential part of the process. The late Dr. Moxon used to teach this, and I remember more than one case in which the correct diagnosis of aortic incompetence without disease of the valves was made. I have myself made a similar diagnosis, which at the inspection was found to be correct, and the same has been the experience of others. When, a short time ago, a physician of large experience asked what published evidence there was of the pathological proof of this view, I found that there was none very definite, and I there- fore thought it would be of interest to lay before the Society the notes of the following eight cases, four of which are drawn from the post-mortem records of Guy’s Hospital, and four are specimens in the museum. It would not be difficult to collect many more, were it necessary. Case 1.—A man aged 42, admitted with a to-and-fro aortic and an apical systolic bruit. The heart weighed 20 oz. Mr. Targett, who made the post-mortem, described the first part of the aorta as](https://iiif.wellcomecollection.org/image/b22335821_0003.jp2/full/800%2C/0/default.jpg)
