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13 - Heart: Mitral and tricuspid stenosis

Enlarge听听听听听听 Descriptive Card听听听听听听 Log Book Entry

Rodin Number: 11
E Number: 146
Donor: Howard and Osler
Date: unknown
Size (H x W cm): 15 x 12.5

The specimen shows thickening (fibrosis) of the chordae tendineae to the anterior leaflet of the mitral valve (arrow, (A)). An enlarged view of the tricuspid valve from the ventricular side (B) shows fusion (short arrow) and thickening (long arrow) of the leaflets. A view from above (C) shows the narrowed orifices of both mitral (M) and tricuspid (T) valves.

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B
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C

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Comment

The specimen is the second case described in an 1877 report by Palmer Howard, Professor of Clinical Medicine at 捆绑SM社区 when Osler was in Montreal. (Transactions of the Canada Medical Association 1877 I: 111 - 118). In this, he states that the heart came from the Museum and that there was no clinical record associated with it. A description of the specimen was given to him by Osler. It is not clear if the specimen came from one of Osler鈥檚 autopsies or had been donated to the Museum before he arrived in Montreal. Howard suggested that the cause of the stenosis was rheumatic fever.

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