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SURGERY OF THE EAR
Author(s) -
Stephen A. Bilbrey
Publication year - 1931
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1931.tb52763.x
Subject(s) - citation , computer science , library science , information retrieval
Post Mortem Examination. The body was pale and spare and bore no marks of violence. The pericardiumwas full and slightly distended with serum and blood; it containedno clots. There was a round hole in the anterior wall of the left ventricle half way from baseto apex, and 1·25 centimetres (half an'inch) from the septum. I had recently examined a bullet wound of the heartand this at first sight appeared similar. But closer exammation revealed that the edges of the hole were broken in and sharply defined and that the hole was not perfectly round. It was not punchedout like a bullet wound. A little nearer to the baseand a little further from the septum there were cracks in the visceral pericardium, of a similar shapeand size, but with the underlying muscle still in situ and evidently partly torn inwards. The left ventricle was empty. The plug of muscle corresponding to the first mentionedopening was attachedto an anterior papillary muscle. The second (partial) rupture was at the site of attachmentof anotherpapillary muscle. The orifice of the anterior coronary artery was atheromatous. There was no thinning of the cardiac wall, but it was friable. The size of the heart was normal. A piece of parchment-likepaper was found fixed in the duodenum. It had causedan ulcer opposite the entrance of the bile duct into the duodenum. Nothing special wail observedin other organs. •