Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Chordae tendineae

The chordae tendineae, as their Latin name suggests, are tendinous cords found in the right and left ventricles of the heart. These chordae tendineae connect the papillary muscles to the leaflets of the atrioventricular (AV) valves. The vernacular term for these structures is "heart strings". 

The function of the chordae tendineae is to limit the freedom of motion of the cusps of the AV valves (tricuspid and mitral), limiting their capacity to "flap" back into the corresponding atrium. Rupture of one or more chordae can cause retrograde flow (reflux or regurgitation) of blood from the ventricle into the atrium, causing cardiac dysfunction.

The chordae tendineae are part of a larger complex of interacting anatomical structures that include the fibrous "skeleton of the heart", the fibrous core of the AV valves, the chordae tendineae, the papillary muscles, and the complex fibrous internal structure of the papillary muscles and the ventricular wall.

The image shows the dissection of a human heart, with the right atrium open. The fan-like shape of the many chordae tendineae is clearly visible, spanning two leaflets. Observe that some chordae tendineae arise directly from the interventricular septum. These are known as the "septal chordae tendineae". Observe the atrioventricular sulcus, and the cardiac apex.

Image property of:CAA.Inc.

Interior of the right ventricle - Human heart

Heart - Interior of the right ventricle. Click on the image for a larger version.


Clinical anatomy of the human heart, as well as specimen demonstrations are some of the lecture topics developed and delivered to the medical devices industry by Clinical Anatomy Associates, Inc.
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