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December 20, 1890


JAMA. 1890;XV(25):897-900. doi:10.1001/jama.1890.02410510017002

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General Shrinking of the Aorta a Cause of Heart Disease.  —Under the above title Dr. A. Schabert (St. Petersburger Med. Wochenschr.) describes a case and gives an extensive résumé of the literature of the subject. He refers to the old case reported by Joh. Fr. Meckel in 1750. The patient, a girl 18 years of age, had complained from early life of palpitation, with anxiety and sever pain—like angina pectoris. Sectio cadaveris showed an enormously enlarged heart that nearly filled the left half of the thorax, a very small aorta with a diameter less than one-half that of the pulmonary artery. This interesting specimen is still to be seen in the museum in Halle. In 1765 Morgagni described several similar cases, also Andral (1836), Bouilland (1837), and King (1840).Insufficiency of the aorta generally presents the clinical picture of dilatation of the heart, that cannot be referred to other causes;

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