During inflammation of arteries, the actions of the vessels are
accelerated and attended with pain; the internal coat is found to be
of a red colour, from increase of its vascularity, and not from its
being merely tinged with the colouring part of the blood; or it is of a
yellowish hue and rough, from the deposition of lymph on its surface,
whilst the external coat is thickened by the infiltration of serum and
lymph. When bloodvessels are inflamed from mechanical irritation, lymph
is secreted on their internal coat, becomes organised, and obliterates
their calibre; if deficient in nervous influence and circulating fluid
at a particular point, there ulceration of their coats occurs; if
violently injured or completely isolated, their coats mortify; and
these circumstances must all be calculated on in the surgical treatment
of arteries. A universal inflammatory state of the arterial coats is
said to have existed, and its symptoms have been minutely detailed; but
its occurrence seems to be extremely rare, and the treatment is medical.
Inflammation is supposed to precede degeneration of the arterial
coats. As a person advances in life the arteries lose elasticity, and
the heart its balance with them; either the one or the other becomes
dilated, their parietes are thickened, and the valves are altered
in structure; the enlargement of the vessels is generally greatest
towards their origin. The dilatation of arteries, more especially of
the internal ones, is often very great; ultimately the internal coat
gives way, and the external, with the surrounding tissues, yields
in proportion as the blood diffuses itself. The internal tunic is
occasionally burst in consequence of violent and sudden muscular
exertion; and, even when the vessels are pretty limber and sound,
effusion of lymph, and obliteration of the vessel ensue, or, more
frequently, aneurism.
Previously to the rupture of the internal tunic, however, there is,
in most cases, a morbid alteration in the texture of the vessel. The
internal coat becomes dry; its textures is more dense and less elastic,
and consequently more brittle. Morbid matter is deposited between the
middle and internal coats, and this, by stretching the latter still
further, diminishes the elasticity and cohesion of their texture.
The deposit is at first to a slight extent and of soft consistence,
somewhat resembling condensed fatty matter. Afterwards it increases
in quantity and consistence, becoming, instead of soft and yielding,
dense, hard, and incompressible; in short, calcareous.
[Illustration]
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