Dr. Hope observed that he had never examined a case after death, a case of complete adhesion of the pericardium without finding enlargement of the heart, generally hypertrophy with dilation. . .With deference to this high authority, I must venture to suggest that the above remarks can be applied only to one class of cases of this description - to those in which, superadded to the adhesion of the pericardial surfaces, there is also disease of the valvular passages of the heart. . .a sufficient number of contrary cases have occurred under my own notice, to prove that, where the valves are healthy, complete and close adhesion of the pericardial surfaces, so far from producing hypertrophy and dilatation, has a tendency to be followed by general diminution in the size of the heart and its vessels, and contraction of its cavities (Norman Chevers 1842).
KeywordsTricuspid Regurgitation Cardiac Tamponade Constrictive Pericarditis Cardiac Amyloidosis Respiratory Variation
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