Case of aneurysm of the ascending aorta, pressing upon the base of the right ventricle and opening into the origin of the pulmonary artery : with remarks on the communications of the sacs of aneurysms with the cardiac cavities and adjacent vessels / by Thomas B. Peacock.

  • Peacock, Thomas B. (Thomas Bevill), 1812-1882.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Case of aneurysm of the ascending aorta, pressing upon the base of the right ventricle and opening into the origin of the pulmonary artery : with remarks on the communications of the sacs of aneurysms with the cardiac cavities and adjacent vessels / by Thomas B. Peacock. Source: Wellcome Collection.

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    life by Dr. Baillie, in wMcli an aneurysm burst into the pulmonary arteiy. In 1832, an instance of rupture of the sac of an aneurysm into the vena cava superior was noticed in the Lancet; and in 1838, Mr. Curling related a case of communication with the right auricle. A second instance of opening into the pulmonary artery occurred to Dr. Munro, in 1839; and in 1840, Dr. Eeid reported four cases—one in which the aneurysm opened into the right auricle, two which ruptured into the pulmonary artery, and a fourth of communication between the descending aorta and the left pulmonary branch. In the same year, Dr. Thurnam illustrated the pathology of cases of this description in an able and original memoir^ published in the Medico-Chirurgical Transactions. In this paper he collected the particulars of ten cases, including those before referred to, and one which had occurred at the Westminster Hospital in the practice of Dr. Koe, and which had been under his own observation ;* and referred to the existence of six other specimens preserved in different museums. Since that time, vari- ous instances of anemysm opening into the cardiac cavities or adjacent vessels have been placed on record in this country, or on the Conti- nent. I have myself had the opportunity of seeing two recent cases besides that reported in this communication. Of these, one occurred in the practice of Dr. Henderson, at the Eoyal Infirmary of Edinburgh, in which the anemysm opened into the right ventricle. In the other' which fell under my own notice at the Chester Infirmary, the sac opened into the appendage of the right auricle. In the appendix to this paper will be found references to, and brief abstracts of, thirty- three cases which I have found recorded in different periodicals ; so that, together with the six specimens mentioned by Dr. Thurnam, as contained in the museums of the Eoyal College of Sui-geons, St. Bar- tholomew's Hospital, and the Faculty of Medicine of Paris; and fom- cases described by Eokitansky, in which, though communications had existed, they had become closed, the recorded cases cannot at the pre- sent time be less than forty-three in number. It is, indeed, highly probable that with leisure to search the contents of museums and the literature of this and other countries, the number might be consider- ably increased. Of the cases referred to, three, those related by Dr. * In tho abstract of this case, contained in the table in the appendix, I have sup- plied from notes kindly furnished to me by Dr. Thurnam, a much fuller report than has hitherto been published.