Casuistische Mittheilungen von der Prosectur des Katharinenhospitals in Stuttgart

Rau, Felix

doi:10.1007/bf01947718

Cited by 7 publications

(1 citation statement)

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“…Other observers contend that the tumours are primarily new growths, and each has given them names according to their variations in structure. Thus Rau (1898), Manifold (1915), and Schuster (1914Hornowski (1906) and Orr (1942) described endotheliomata; Lloyd (1929) and Armstrong and Monckeburg (1911) described lymphangio-endotheliomata; Fabris (1923) described a fibro-angio-myxoma, and Brenner (1907) a hemangio-elastomyxoma. The basic histological structure tends to be constant in all these tumours, and difference of opinion as to their etiology has arisen from different interpretations of the observed features.…”

Section: Discussionmentioning

confidence: 99%

Intracardiac Tumours

Castleden¹

1942

Heart

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Three cases of intracardiac tumour are reported in this paper and are of interest, apart from the comparative rarity of the condition, because in each case the clinical signs and symptoms suggested the presence of another lesion and the tumour was only discovered post-mortem.The first case, with a round-cell and spindle-cell sarcoma of the right auricle, showed in life the signs and symptoms of Ayerza's syndrome. The second, with a pedunculated myxomatous tumour of the left auricle, which projected through the mitral valve, was diagnosed as mitral stenosis. The third, with a tumour only in the sense that it was an intracardiac swelling, had a mycotic aneurysm arising at the attachment of the anterior cusp of the aortic valve, extending downwards into the interventricular septum and bulging into the right ventricle; the aortic valve was the seat of a bacterial endocarditis: in life the bulging into the right ventricle had obstructed the pulmonary valve, and a diagnosis of pulmonary stenosis and rheumatic carditis had been made.SARCOMA OF RIGHT AURICLE Case 1. A woman, aged 45 years, was admitted 30/7/41 complaining of increasing shortness of breath on exertion, of blueness of the lips for five months, and of a cough with scanty sputum for the past four weeks. Her doctor stated that auricular fibrillation had developed within the last week. She had always been strong and healthy except for a tendency to winter cough for the past five or six years. No history of rheumatic fever or chorea.On examination she was an obese woman with intense plum-coloured cyanosis but without dyspncea at rest. The heart appeared normal in size. Auricular fibrillation at 84 a minute was present. There were no murmurs. The blood pressure was 120/80. The lungs were emphysematous without any added sounds. The cervical veins were not overfilled, and there was no cedema of the subcutaneous tissues and no enlargement of the liver or spleen. The appearance of the patient suggested polycythemia, but her blood count showed 4-7 million red blood corpuscules and 94 per cent hemoglolin, with a colour index of 1b0. The urine was normal except for a trace of albumin. An electrocardiogram confirmed the presence of auricular fibrillation and showed low voltage of the QRS complexes and a flat T wave in lead III.There was no abnormal axis deviation.

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Section: Discussionmentioning

confidence: 99%

Intracardiac Tumours

Castleden¹

1942

Heart

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Mediastinal cysts of fore-gut origin associated with vertebral abnormalities

Fallon¹,

Gordon²,

Lendrum³

1954

Journal of British Surgery

190

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CYST in the posterior mediastinum was once regarded as an inexplicable rarity. To-day, thanks to better radiography, and surgical success within the thorax, fore-gut cysts of the mediastinum are being found more commonly and recognition is being followed by cure. Further, their association both with intraabdominal and with vertebral abnormalities has come to be realized. T h e present study attempts to distinguish the various types of these cysts and to trace their relationship with the other abnormalities. T h e facts now available but not yet widely appreciated are of broad surgical significance, and it is hoped that the hypothesis offered here concerning their development will lead to a clearer understanding of this group of lesions. CASE REPORTSCase I.-Male, aged 22. This man was referred from an orthopiedic unit where he was undergoing treatment for old-standing injuries received in previous road accidents. A physician was asked to see him because of trivial pain in the anterior part of the chest, and, although physical examination was negative, a chest radiograph disclosed an abnormal shadow in the lower right hemithorax.He was transferred to this Centre and found to be well-developed, muscular, and in good condition ; his only complaints were of a little pain to the left of the sternum in front and some pain down the back of the right leg. Physical examination of the chest failed to reveal any abnormality. Detailed neurological examination was negative (C.S.F. normal, Queckenstedt normal), the Wassermann was negative, and bronchoscopy showed the trachea and main bronchi to be normal. A barium swallow showed that the oesophagus was displaced anteriorly. The barium was then seen to fall to the left iliac fossa and films showed the greatly elongated stomach extending from the diaphragm to the iliac fossa. The chest radiograph (Fig. 634) showed a large elongated mass occupying the mediastinum, and projecting into the right hemithorax at its lower expanded end. The upper part of the shadow seemed to extend into the superior mediastinum above the aortic arch. A right anterior oblique view (Fig. 635) showed that the mass was behind and separate from the cardiac shadow, and it was further noted that there was a posterior gap in the vertebral arch of the second dorsal vertebra. A pre-operative diagnosis of mediastinal tumour was made and operative treatment advised and accepted.AT OPERATION.-The chest was opened through the bcd of the resected eighth right rib. The right pleural cavity showed neither fluid nor adhesions. A large mass was seen to occupy the whole of the posterior part of the mediastinum, extending from the thoracic inlet to the diaphragm. It was covered by mediastinal pleura and constricted by the arch of the azygos vein above the lung hilum ; large thin-walled vessels were visible on its surface. The vagus nerve was seen closely applied to the lateral aspect of the mass, with the larger branches of its pulmonary plexus radiating forwards on the anterolateral surface. The mediastinal pleura was now ...

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Lymphangio‐Endothelioma of the heart causing complete heaet block

Perry

Rogers

1934

J. Pathol.

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Casuistische Mittheilungen von der Prosectur des Katharinenhospitals in Stuttgart

Cited by 7 publications

References 0 publications

Intracardiac Tumours

Intracardiac Tumours

Mediastinal cysts of fore-gut origin associated with vertebral abnormalities

Lymphangio‐Endothelioma of the heart causing complete heaet block

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