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This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1839. Not illustrated. Excerpt: ... 3rd. Deeper than usual.* When it exists out of the chest two cases are possible. 1st. The anomaly being slight the heart hangs loosely outward, either in its usual placef or higher than it is generally, in the cervical region.J In this case the pericardium is usually but not always deficient. On the other hand it sometimes but very rarely happens that this membrane is not found even when the heart is situated in the chest, and then it is replaced by the pleura.§ 2nd. The anomaly existing in a greater degree which is also still more rare, the heart is found in the abdomen, || a deviation of formation to which the very sloping situation of this organ in the pectoral cavity leads. The accidental anomalies in the situation of the heart depend on the accumulation of solids or liquids within the chest or the penetration of foreign bodies there, and follow no constant and fixed laws. § 1322. Anomalies in the volume of the heart are congenital much less frequently than accidental. They however sometimes have tbe character of a primitive formation, and are even hereditary in many families. The heart is then too small or too large. We often find both of these anomalies in the different parts of the same heart. The smallness of the hearty is much more rare than its excess in volume. It is often carried to an extreme point although the formation of the organ is unchanged.** As to the excessive size of the heart, we must distinguish the pure and simple increase in its mass, the thickening of its parietes,jT from the thickening of its parietes with an increase in its capacity, JJ and from its simple dilatation or an increase in its capacity§§ with or without a thinness of its parietes, since we find all these states sometimes * Meckel, Handb. der- path.Ana...
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