Practical manual of the diseases of the heart and great vessels ... / By F.A. Aran ... Translated from the French, by Wm. A. Harris, M.D.

  • Aran, F. A. (François Amilcar), 1817-1861.
Date:
1843
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of the diseases of the heart and great vessels ... / By F.A. Aran ... Translated from the French, by Wm. A. Harris, M.D. Source: Wellcome Collection.

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    o> and mucous membranes exhibit an eschar, whilst the serous membranes, on the contrary, rupture by a fissure or rent. Aneurisms of the pectoral aorta may open into the bronchiæ, trachea, or esophagus, the left cavity of the pleura, the poste- rior mediastinum, or right ventricle,* and the pul- monary artery.f Those of the abdominal aorta may open into the abdominal viscera, — the intestines, the bladder, &c., into the cavity of the peritoneum, or the vertebral canal, and, according to some, into the sub-peritoneal cellular tissue, &c. A spontaneous cure is rare in aneurisms of the aorta. Treatment. — To give to the artery its natural elasticity and to reduce it to its ordinary size, to cause the formation of fibrinous concretions in the * The following are the signs of this rupture : Local Signs— Ist, a strong, rough and superficial murmur, joined to a con- tinuous rumble. These sounds are most audible about the edge of the fourth rib near the sternum, and thence along the track of the pulmonary artery up to the space comprised be- tween thesecond afd third ribs; 2d,purring tremor at the same points ; 3d, feebleness, and extinction of the second sound near the clavicles. General Signs — 1st, a very jerking pulse ; 2d, considerable, rapid, and universal dropsy ; 3d, a livid, as it were, cyanosed colour of the face. All these symptoms commonly supervening suddenly after violent exertion. (Hope.) + 'Fhese are the signs of this lastrupture: Local Signs — Ist, a very loud, sawing, and superficial murmur, pro- Jonged continuously from the first to the second sound, having its maximum along the course of the pulmonary; 2d, a pur- ring tremor in this artery and in the second intercostal space ; 3d, a feebleness of the second sound at the clavicles. General Signs — Ist, the jerking pulse; 2d, rapid and general dropsy ; 3d, a cyanosed colour of the face ; 4th, the develop: ment of all these accidents after a strong muscular effort. 24