Andreas Vesalius, the Reformer of AnatomyBall, James Moores
History
Andreas Vesalius, the Reformer of Anatomy
Ball, James Moores
Vesalius, Andreas, 1514-1564
In less than fifty pages Vesalius describes the contents of the thorax.
He writes intelligently of the membrane lining the thorax, and then
gives an account of the arteria aspera, as the trachea was formerly
named. Passing on to the lungs, he next takes up the anatomy of the
heart. He describes its position, form, and structure in better terms
than had been done by preceding anatomists. The auricles, ventricles,
and valves are carefully examined. His illustrations of both lungs and
heart are excellent.
In the 1543 edition of the _Fabrica_, Vesalius adopts the erroneous view
of Galen that openings exist in the septum of the heart. In the second
edition of his book, published in 1555, he says that influenced by the
views of Galen, he believed that the blood passes from the right to the
left ventricle of the heart, through the septum, by means of the pores.
Vesalius immediately adds that the septum of the heart is as dense and
compact as the rest of this organ, and that not the smallest quantity of
blood passes through the septum.
His account of this subject is best given in his own words:—“In
recounting as above the structure of the heart, and the use of its
different parts, I have followed in the main the doctrines of Galen; not
that I regard them in all particulars as consonant with the truth, but
because, in attributing new functions and uses to a number of parts, I
am still distrustful of myself, and not long ago should hardly have
ventured to differ from that Prince of Physicians by so much as a
finger’s breadth. As for the dividing wall, or septum, between the
ventricles forming the right side of the left cavity, the student of
anatomy should consider carefully that it is equally thick, compact, and
dense, with all the rest of the cardiac substance enclosing the left
ventricle. And accordingly, notwithstanding what I have said about the
pits in this situation, and at the same time not forgetting the
absorption by the portal vein from the stomach and intestines, I still
do not see how even the smallest quantity of blood can be transfused,
through the substance of the septum, from the right ventricle to the
left”.
Vesalius and other anatomists knew of the hepatic circulation, or at
least believed in some communication between the portal and hepatic
veins:—“The branches of this vein”—vena cava—“distributed through the
body of the liver, come in contact with those of the portal vein; and
the extreme ramifications of these veins inosculate with each other, and
in many places appear to unite and be continuous”.
Vesalius knew that in several particulars the accepted physiology of the
vascular system was wrong. If he could have lived a few years longer, it
is possible that he might have solved the great problem which was made
clear by William Harvey. In the light of our present knowledge some of
Vesalius’s words are suggestive:
Public-domain text, read in full here on John Shaqi.
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