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Updated: May 27, 2025
'Why, you had just been saying something, and Dr Nicholls said: "If he had got aneurism of the aortal his days are numbered." 'Well. Anything more? 'Yes; you said, "I hope to God I may be mistaken; but there is a pretty clear indication of symptoms, in my opinion." 'How do you know we were speaking of Osborne Hamley? he asked; perhaps in hopes of throwing her off the scent.
"What think you, doctor?" asked Entrefort of the older man. "I think," was the reply, "that the knife-blade has penetrated the ascending aorta, about two inches above the heart. So long as the blade remains in the wound the escape of blood is comparatively small, though certain; were the blade withdrawn the heart would almost instantly empty itself through the aortal wound."
The arterial system consists of the aortal and the pulmonary artery, which are attended through their whole course with their correspondent veins.
Arnold smiled faintly. "But we shall do our best to prevent the formation of a clot," continued Entrefort; "there are drugs which may be used with effect." "Are there more dangers?" "Many more; some of the more serious have not been mentioned. One of these is the probability of the aortal tissues pressing upon the weapon relaxing their hold and allowing the blade to slip.
The blood, thus forcibly injected into the chambers of the heart, distends this combination of hollow muscles; till by the stimulus of distention they contract themselves; and, pushing forwards the blood into the arteries, exert sufficient force to overcome in less than a second of time the vis inertiæ, and perhaps some elasticity, of the very extensive ramifications of the two great systems of the aortal and pulmonary arteries.
"You must watch this man; he is too sharp; he is dangerous." "Then," resumed Entrefort, "I shall tell you what I intend to do. There will undoubtedly be inflammation of the aorta, which, if it persist, will cause a fatal aneurism by a breaking down of the aortal walls; but we hope, with the help of your youth and health, to check it. The aorta remains stationary.
I am certain that it is doing this, because there is no indication of an escape of arterial blood into the thoracic cavity; in other words, the mouths of the two aortal wounds have seized upon the blade with a firm hold and thus prevent it from slipping in and out. This is a very fortunate occurrence, but one which will cause pain for some time.
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