General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
This membrane is remarkable, in all the organic systems, for the
singular tendency it has of being ossified in old age. I have been able
to satisfy myself, that out of ten subjects, there are at least seven
that have incrustations after the sixtieth year. These incrustations,
having no connexion with the peculiar fibrous membrane, begin uniformly
on the external surface of this, the most external part of which they
attack; for there always remains over the incrustation a kind of
pellicle that separates it from the blood, and which belongs to the
membrane; the earthy substance is never immediately in contact with
this fluid.
These incrustations do not follow any of the laws of ordinary
ossification. The cartilaginous state rarely precedes them. The saline
substance is deposited immediately upon the exterior of the common
membrane by the exhalants. It is always in separate plates, more or
less broad, that this exhalation is made; rarely the whole of the
artery forms a solid continuous tube; so that the membranous portions
remaining between the plates can be considered as serving for articular
connexions, and that the arteries, thus ossified, are composed of many
pieces moveable upon each other, and being able to a certain extent to
adapt themselves to the circulating motion.
As long as these plates remain thin, the interior of the artery is as
usual smooth and polished. But if many saline substances are deposited
there, they then have a greater thickness and make a projection within.
The fine pellicle that covers them and which is continued upon the
artery, is broken; then they adhere only by their external surface
to the peculiar membrane. Their circumference is unequal and rough.
If there is a great number in the artery, the whole internal surface
presents numerous asperities, produced by the rupture of this extremely
fine layer of the common membrane that covers the osseous plates. This
arrangement is particularly remarkable at the origin and even in the
course of the aorta. I have noticed it frequently in the dissecting
rooms. Since I have practised medicine in the hospitals, I have already
opened three or four subjects that have exhibited this arrangement, in
which the heart was perfectly untouched, but who died however with most
of the symptoms that accompany diseases of that organ. The rupture of
the fine pellicle when the osseous plates become large, arises from the
remarkable brittleness that we have observed in the common membrane,
of which it is an appendage. I have never seen these osseous plates
entirely detached, and become loose in the artery.
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