Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
VIII.--Such being the phases of metamorphosis of the primary (branchial)
arches which yield the vessels in their normal adult condition, we
obtain in this history an explanation of the signification not only of
such of their anomalies as are on record, but of such also as are
potential in the law of development; a few of them will suffice to
illustrate the meaning of the whole number:--lst, The interventricular
as well as the interauricular septum may be arrested in growth, leaving
an aperture in the centre of each; the former condition is natural to
the human foetus, the latter to the reptilian class, while both would be
abnormal in the human adult. 2nd. The heart may be cleft at its apex in
the situation of the interventricular septum--a condition natural to the
Dugong, A similar cleavage may divide the base of the heart in the
situation of the interauricular septum. 3rd. The partitioning of the
bulbus arteriosus may occur in such a manner as to assign to the two
aortae a relative position, the reverse of that which they normally
occupy--the pulmonary aorta springing from the left ventricle and the
systemic aorta arising from the right, and giving off from its arch the
primary branches in the usual order. [Footnote 1] 4th. As the two aortae
result from a division of the common primary vessel (bulbus arteriosus),
an arrest in the growth of the partition would leave them still as one
vessel, which (supposing the ventricular septum remained also
incomplete) would then arise from a single ventricle. 5th. The ductus
arteriosus may remain pervious, and while co-existing with the proper
aortic arch, two arches would then appear on the left side. 6th. The
systemic normal aortic arch may be obliterated as far up as the
innominate branch, and while the ductus arteriosus remains pervious, and
leading from the pulmonary artery to the descending part of the aortic
arch, this vessel would then present the appearance of a branch
ascending from the left side and giving off the brachio-cephalic
arteries. The right ventricular artery would then, through the medium of
the ductus arteriosus, supply both the lungs and the system. Such a
state of the vessels would require (in order that the circulation of a
mixed blood might be carried on) that the two ventricles freely
communicate. 7th. If the fourth arch of the right side remained pervious
opposite the proper aortic arch, there would exist two aortic arches
placed symmetrically, one on either side of the vertebral column, and,
joining below, would include in their circle the trachea and oesophagus.
8th. If the fifth arch of the right side remained pervious opposite the
open ductus arteriosus, both vessels would present a similar
arrangement, as two symmetrical ducti arteriosi co-existing with
symmetrical aortic arches. 9th. If the vessels appeared co-existing in
the two conditions last mentioned, they would represent four aortic
arches, two on either side of the vertebral column. 10th. If the fourth
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