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The London Medical Gazette

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Book Excerpt: 
. . .embrane, it has been from them exclusively, [117] and from no other part of the lining of the same heart. And as rupture of the membrane seldom occurs in more than one situation at a time, the heart of the same individual seldom presents more than one excrescence of this kind: and as the aortic valves are the parts most liable to rupture, it is there that this single excrescence is most frequently found; not that rupture may not take place elsewhere. I once saw a single chorda tendinea ruptured; and a single fungous excrescence of considerable size hanging from it into the cavity of the left ventricle.

Now, this morbid growth is evidently connected with the lacerated state of the membrane in the conditions of its production, whereby it is limited to a small space.

It is probable that the membrane is first ruptured; that its lacerated edges inflame, and then throw out unhealthy lymph, or unhealthy granulations, in the shape of these fungous or. . . Read More

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