lls thin and in advanced stage of fatty degeneration.
There was no valvular disease. The aorta and its main branches were
atheromatous. Both lungs contained calcifying tubercle; the abdomen was
loaded with fat; the spleen was soft; the kidneys were engorged, but
otherwise healthy.
Stokes gives the case of a man who was severely crushed between the
arms of a water-wheel of great size and the embankment on which the
axle of the wheel was supported; a peculiar factor of the injury being
that his heart was displaced from left to right. At the time of
report, after recovery from the injury, the patient exhibited
remarkable tolerance of great doses of digitalis. When not taking
digitalis, his pulse was 100 to 120, regular, and never intermittent.
Hypertrophy of the Heart.--The heart of a man of ordinary size weighs
nine ounces, and that of a woman eight; in cases of hypertrophy, these
weights may be doubled, although weights above 25 ounces are rare.
According to Osler, Beverly Robinson describes a heart weighing 53
ounces, and Dulles has reported one weighing 48 ounces. Among other
modern records are the following: Fifty and one-half ounces, 57 ounces,
and one weighing four pounds and six ounces. The Ephemerides contains
an incredible account of a heart that weighed 14 pounds. Favell
describes a heart that only weighed 3 1/2 ounces.
Wounds of the aorta are almost invariably fatal, although cases are
recorded by Pelletan, Heil, Legouest, and others, in which patients
survived such wounds for from two months to several years. Green
mentions a case of stab-wound in the suprasternal fossa. The patient
died one month after of another cause, and at the postmortem
examination the aorta was shown to have been opened; the wound in its
walls was covered with a spheric, indurated coagulum. No attempt at
union had been made.
Zillner observed a penetrating wound of the aorta after which the
patient lived sixteen days, finally dying of pericarditis. Zillner
attributed this circumstance to the small size of the wound, atheroma
and degeneration of the aorta and slight retraction of the inner coat,
together with a possible plugging of the pericardial opening. In 1880
Chiari said that while dissecting the body of a man who died of
phthisis, he found a false aneurysm of the ascending aorta with a
transverse rupture of the vessel by the side of it, which had
completely cicatrized. Hill reports the case of a soldier who was
stabbed w
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