Raymond Vieussens Explained

Raymond Vieussens (ca. 1635 – 16 August 1715) was a French anatomist from Le Vigan. There is uncertainty regarding the exact year of Vieussens birth, with some sources placing it as late as 1641.

He studied medicine at the University of Montpellier where he earned his degree in 1670. He later became head physician at Hôtel Dieu Saint-Eloi in Montpellier.

Vieussens is remembered for his pioneer work in the field of cardiology, and his anatomical studies of the brain and spinal cord. He regarded English anatomist Thomas Willis (1621–1675) as a major influence towards his career.

Vieussens is credited as being the first physician to give accurate descriptions of the left ventricle and several blood vessels of the heart. He was also the first to give a comprehensive description of mitral stenosis, as well as other types of heart disease and circulatory disorders.

He also provided an early description of the brain's centrum semiovale, which is sometimes referred to as "Vieussens' centrum". This structure is also known as "Vicq d'Azyr's centrum", named after Félix Vicq-d'Azyr (1746–1794), who provided a later, more detailed description.

Several other anatomical structures are named after Vieussens; however, they have largely been replaced by clinical nomenclature. These include:

He also provided an early description of the tiny openings in the veins of the right atrium of the heart that are known as "Vieussens' foramina", or foramina venarum minimarum, and sometimes "Thebesian foramina" after Adam Christian Thebesius (1686–1732).

Another important finding named after him in the field of cardiology is the vieussens collateral, that is an arterial relation between the proximal part of the right coronary artery (RCA) to the left anterior descending artery (LAD), providing some blood flow for the myocardium distal to the coronary lesion in the LAD. This collateral blood supply reduces ischemia and protects that part of myocardium from complete necrosis.

Among his written works are Neurographia universalis, an early work on neuroanatomy that is known for its excellent copperplate illustrations, and Novum vasorum corporis humani systema, an important treatise on the anatomy and diseases of the heart.

During his lifetime, Vieussens was known for his controversial views on human physiology, which speculatively went beyond what the scientific evidence would have sanctioned at that time.

Selected works

References