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FR. BLAZEKOVIC. 
of such ulcers is generally irregular, forming shoots and protuber¬ 
ances in different directions. If the abscess be not obliterated by 
inspissation and chalky formation of its contents by being capsu- 
lated and absorbed before paralysis of the heart occurs, then 
rupture and destruction of the wall of the heart produce the fatal 
issue of this degeneration. Metatastic abscesses in the liver, 
spleen and other organs are proofs that this condition of things 
is the result of pysemic processes. 
Hypertrophy of the Heart. 
Hypertrophy of the heart is such a condition of the heart in 
which a conspicuous increase of the muscular substance of the 
heart is formed and is characterized by an abnormal enlargement 
of this organ. Such anomalies of the heart are frequently found 
at post-mortem examinations; these are partially confined to sin¬ 
gle portions of the heart, or they may extend over the whole 
organ. It appears that the left half of the heart is oftener 
affected than the right. Such a hypertrophical part of the heart 
is generally of a dark color; the texture is more solid and the 
primitive bundles are thickened, in fatty degeneration often pale 
and tender. 
From the various results we are able to divide hypertrophy of 
the heart according to the synchronal capacity of the cavities of 
the heart into 
(a) Simple hypertrophy, without diminution oft he capacity of 
the cavity of the heart. 
(1) Eccentric hypertrophy, with expansion of the cavity. 
(c) Concentric hypertrophy, with contraction of the cavity. 
In simple hypertrophy the walls are simply thickened without 
expansion of the cavity. The greatest number of cases are found 
in eccentric hypertrophy, which affects the ventricle as well as the 
arteries, but mostly those of the left half of the heart. They 
usually appear in one part of the heart and gradually spread over 
the other parts. Under such circumstances the expansion and 
enlargement of the heart can become very great. Thus the 
long and short diameter of the heart becomes so large that it 
often attains an enormous circumference of round, plump form. 
