The heart presented nearly its usual colour and form, excepting on its
anterior surface, which was somewhat discoloured by coagulated lymph.
It was enlarged in bulk to, at least, one half more than the healthy
size. The auricles and ventricles contained coagulated blood. The
tricuspid valves were in a sound state. The left auricle was double
the usual size. The left ventricle was enlarged, about three times
thicker and much firmer than usual. The mitral valves were very much
thickened, and near the insertion of their columnae, which were sound,
cartilaginous, so that they were quite rigid, and the opening made by
them, from the auricle to the ventricle, was scarcely large enough to
admit the passage of a finger. The semilunar valves of the aorta were
ossified at their bases and apices, and the portion intermediate,
between the base and apex, partly ossified, and partly cartilaginous,
so as to render the valves very rigid. The aorta was at least one half
larger than usual, especially at its arch. The arteria innominata, the
carotid, and subclavian arteries, were uncommonly large and thick. The
coronary arteries were considerably ossified.
ABDOMEN.
The omentum was destitute of fat. The stomach distended with flatus on
the pyloric side; its cardiac extremity, lying under the liver, was
pressed down and contracted. The liver was shrunk; its tunic
corrugated, as if it had been distended, and bearing marks of
inflammation; its substance harder than usual; its vessels, when
divided, pouring out liquid black blood. The gall bladder was filled
with bile. The kidneys were thicker, and more irregular in form, than
is common. The abdominal cavity contained some water.
HEAD.
The bones of the cranium were unusually thick. The dura mater, which
was thickened, and in many places bore marks of former inflammation,
adhered to the bone at the vertex. On its internal surface, near the
longitudinal sinus, there was a small ossified portion, half an inch
long and the eighth of an inch thick. The convolutions of the brain
were narrow, and very strongly marked. The pia mater bore marks of
pretty extensive inflammation, and adhered to the dura mater at the
vertex. The cortical substance ran deep into the medullary part of
the brain. The ventricles contained about double the usual quantity of
water; their parts were all remarkably well defined. The vessels of
the pia
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