[1] General thickening of all the valvular apparatus on both sides
of the heart. (St. B. 33.)
[2] Andral, vol. iii. p. 411.
[3] Pl. 1, fig. 5.
[4] Opacity and thickening of the lining membrane on both sides of
the heart, without unevenness or alteration of form. (St. B. 33).
Opacity and thickening in the valvular apparatus between the left
auricle and ventricle, with shortening of the chordæ tendinæ, and
such alteration of structure and form as to produce a considerable
contraction of the aperture. (St. B. 26).
Such thickening of the whole valvular apparatus as to narrow the
aperture of communication between the left auricle and ventricle to
a mere slit. (St. B. 19).
Shrivelled and contracted state of the semilunar valves, in which a
cartilaginous substance has entirely taken the place of the natural
structure. (Hodgson, pl. 1, fig. 6).
[5] Osteum aortæ almost closed by ossified valves. (St. B. 15);
(Hodgson, pl. 1, fig. 2).
[6] Fungus growing from the aortic valves, which are thickened and
shortened. (St. B. 6, 20).
Fungus form the aortic valves, which are ulcerated. (St. B. 21).
Larger specimens of fungus, growing from the ulcerated edges of two
of the valves of the aorta. (Hodgson, pl. 1, fig. 7).
[7] Dr. Baillie's plate.
[8] Polypous coagulum in the ventricle. (Coll. of Phys. 4, A. 16).
Coagulum firmly attached to the lining of the left auricle, with
enlargement of its capacity. (St. B. 19).
[9] (St. B. 13).
[10] It occurs sometimes in the uterus.
[11] Memoir. de l'Acad. des Sciences. Morand, 1732. Morgagni,
Epist. 27.
[12] Andral, v. 3, 466; Hodgson, plate 1, figure 7; St. B. 14.
[13] Corvisart, cap. 4. sect. 1.
[14] Active dilatation of the left ventricle. (College of Phys. 4,
c. 10.)
The thickened walls of the left strikingly contrasted with the
attenuated walls of the right ventricle. (St. B. 9).
Active dilatation of the left ventricle. Its capacity is strikingly
contrasted with that of the right. (College of Phys. 4, c. 11.)
Passive dilatation of both ventricles, especially of the right.
(St. B. 10).
[15] Morgagni, Epist. xxvii. 7.
[16] Ibid. 2.
[17] Ibid. 3.
Rupture of the left ventricle, with attenuation of its muscular
structure. (St. B. 18).
Rupture, without attenuation, but with softening and looseness of
texture in the muscular substance. (St. B. 22).
[18] Harvey, Exercit. altera.
[19] Rupture of the left ventricle without change in its structure.
Bone deposited at the commencement of the aorta. (St. B. 27).
In turning over the Memoirs of the Royal Academy of Sciences, I
find two cases of rupture of the heart, reported by M. Morand. They
both occurred in the year 1730; and, strange to say, one was that
of a Duchess of Brunswick, who was of the same family as George II.
who also died of a ruptured heart. In the one, that of the Duchess,
there was a manifest ulceration through the walls of the right
ventricle, its structure being otherwise unimpaired; in the other,
where the aperture was in the left ventricle, there was probably
a simple rupture, for the flesh of the heart was so soft that the
point of a probe would pass through it wherever it was rested.
(Mem. de l'Acad. Roy. des Sciences, Ann. 1732).
[20] The trial as published in the Lancet occupied less than 21
pages--in the Gazette it extended, in the same type, to 33 pages
and a half. In the Lancet, those parts, both of the evidence and
speeches, which told most against Wakley, were omitted.
[21] See passage in Italics, page 137.
[22] The defendant, on leaving the court, was cheered by the
populace in Palace Yard.--Lancet, Dec. 20.
[23] This we believe is false; nothing of the kind either occurred,
or was stated at the trial.--E. G.