On opening the pericardium it was found to be filled with blood-clot, and on washing this away a laceration about 1 1/2 inches in length was found in the left ventricle; the aperture was closed by a recent clot.

The cavities of the heart were dilated, the walls thin and in advanced stage of fatty degeneration.
There was no valvular disease.

The aorta and its main branches were atheromatous.

Both lungs contained calcifying tubercle; the abdomen was loaded with fat; the spleen was soft; the kidneys were engorged, but otherwise healthy.
Stokes gives the case of a man who was severely crushed between the arms of a water-wheel of great size and the embankment on which the axle of the wheel was supported; a peculiar factor of the injury being that his heart was displaced from left to right.

At the time of report, after recovery from the injury, the patient exhibited remarkable tolerance of great doses of digitalis.