ANEURYSMAL DILATATION OF PULMONARY ARTERY WITH PATENT DUCTUS ARTERIOSUS: DEATH FROM RUPTURE OF ANEURYSM INTO PERICARDIAL SAC

P. S., a woman, aged 29, married, housewife, born in this country, had an altercation with her sister-in-law on the night of Oct. 19, 1923, during which she fell to the floor, striking her head. She died immediately, and the sister-in-law was arrested on the charge of homicide, pending investigation. I was notified about an hour and a half after the death of the woman. Investigation revealed that she had always been fairly well, except for shortness of breath, occasional dizzy spells and attacks of fainting. She had worked hard in the household, but had been under the care of a physician for what was diagnosed as chronic cardiovascular disease. The family history and the past history were otherwise negative. There was no history of syphilis. The deceased had never had any children. The sister-in-law stated that there had been no form of violence during the altercation, the deceased having