37 - Aorta: Saccular aneurysm

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3D Model

Rodin Number: 29
E Number: 124
Donor: Osler
Date: 1879
Size (H x W cm): 19.5 x 19

The specimen shows an 11 cm saccular aneurysm of the ascending aorta which has ruptured into the right pleural space (glass rod (arrow) on back view (A)).

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Comment

The clinical information given on the descriptive card indicates that this was from a 43 year-old man with syphilitic aortitis. More detailed information in the Montreal General Hospital post-mortem 567 has been lost. However, a brief summary of the case was recorded by Abbott after her meeting with Osler in Montreal in 1904:

“That fellow, now, I remember well”, [he muttered] scribbling rapidly on a card belonging to a large aneurysm of the aorta that was innocent of any trace of laminated clot, and that had ruptured into the right pleura. “It took a long while before the diagnosis was made, but he came back to the hospital with a pulsation in the second and third right interspaces. So we put him to bed and tried to cure him with Pot. Iodid. He got 120 grains a day, and the pulsation had disappeared. We were talking of discharging him in triumph, when one day he died suddenly, and we found—that.”             
H. E. MacDermot: Maude Abbott: A Memoir. The MacMillan Co. Toronto. 1941. p91

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