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Aortic Stenosis

Aortic Stenosis Abstract Progress in the development of surgical techniques for the treatment of aortic stenosis has provided a new challenge to physicians.1-4 The increasing number of patients undergoing aortic valve surgery is a clear indication that management of patients with this lesion includes the evaluation and selection of candidates for surgical intervention.5-8 Experience in other forms of operable heart disease has shown that the proper selection of patients for surgery depends on the fulfillment of three requirements: (1) that the descriptive aspects and life history of the disease be well established; (2) that the pathologic physiology of the lesion be known; (3) that a quantitative estimate of severity can be made, either clinically or with the aid of special techniques. The first requirement is abundantly fulfilled by the many excellent studies dealing with the clinical aspects and clinicopathologic correlations in aortic stenosis.9-12 Most of these studies, however, were not References 1. Bailey, C. P.; Bolton, H. E.; Jamison, W. L., and Nichols, H. T.: Commissurotomy for Rheumatic Aortic Stenosis: I. Surgery , Circulation 9:22, 1954.Crossref 2. Mueller, W. H., Jr.; Kattus, A. A.; Dammann, J. F., Jr., and Smith, R. T.: Experiences in the Surgical Treatment of Aortic Stenosis , J. Thoracic Surg. 28:516, 1954. 3. Glover, R. P.: The Present Status of Surgery for Aortic Stenosis , Minnesota Med. 37:167, 1954. 4. Sarnoff, S. J.; Donovan, T. J., and Case, R. B.: The Surgical Relief of Aortic Stenosis by Means of Apical-Aortic Valvular Anastomosis , Circulation 11:564, 1955.Crossref 5. Likoff, W.; Berkowitz, D.; Denton, C.; Goldberg, H., and Reale, A.: Transventricular Commissurotomy in Aortic Stenosis: Clinical Evaluation , J. A. M. A. 157:1367, 1955.Crossref 6. Uricchio, J. F.; Litwak, R.; Denton, C.; Goldberg, H., and Likoff, W.: A Medical Appraisal of Transaortic Commissurotomy , Ann. Int. Med. 44:844, 1956.Crossref 7. Black, H., and Harken, D. E.: Safe Conduct of the Patient Through Cardiac Surgery, with Special Reference to Diseases of the Mitral and Aortic Valves , New England J. Med. 251:45, 1954.Crossref 8. Ellis, L. B.; Abelmann, W. H., and Harken, D. E.: Selection of Patients for Mitral and Aortic Valvuloplasty , Circulation 15:924, 1957.Crossref 9. Contratto, A. W., and Levine, S. A.: Aortic Stenosis, with Special Reference to Angina Pectoris and Syncope , Ann. Int. Med. 10:1036, 1937. 10. Kumpe, C. W., and Bean, W. B.: Aortic Stenosis: A Study of the Clinical and Pathologic Aspects of 107 Proved Cases , Medicine 27:139, 1948.Crossref 11. Bergeron, J.; Abelmann, W. H.; Vazquez-Milan, H., and Ellis, L. B.: Aortic Stenosis-Clinical Manifestations and Course of the Dis- ease: Review of 100 Proved Cases , A. M. A. Arch. Int. Med. 94:911, 1954.Crossref 12. Mitchell, A. M.; Sackett, C. H.; Hunzicker, W. J., and Levine, S. A.: The Clinical Features of Aortic Stenosis , Am. Heart J. 48:684, 1954.Crossref 13. Katz, L. N.; Ralli, E. P., and Cheer, S. N.: The Cardiodynamic Changes in the Aorta and Left Ventricle Due to Stenosis of the Aorta , J. Clin. Invest. 5:205, 1928.Crossref 14. Goldberg, H.; Bakst, A. A., and Bailey, C. P.: The Dynamics of Aortic Valvular Disease , Am. Heart J. 47:527, 1954.Crossref 15. Gorlin, R.; McMillan, I. K. R.; Medd, W. E.; Matthews, M. B., and Daley, R.: Dynamics of the Circulation in Aortic Valvular Disease , Am. J. Med. 18:855, 1955.Crossref 16. Facquet, J.; Lemoine, J. M.; Alhomme, P., and Lefebvre, J.: La mesure de la pression auriculaire gauche par voie transbronchique , Arch. mal. cœur 8:741, 1952. 17. Björk, V. O.; Malmström, G., and Uggla, L. G.: Left Auricular Pressure Measurements in Man , Ann. Surg. 138:718, 1953.Crossref 18. Björk, V. O.; Blakemore, W. S., and Malmström, G.: Left Ventricular Pressure Measurement in Man: New Method , Am. Heart T. 48:197, 1954.Crossref 19. Allison, P. R., and Linden, R. J.: Bronchoscopic Measurement of Left Auricular Pressure , Circulation 7:669, 1953.Crossref 20. Allison, P. R., and Linden, R. J.: Bronchoscopic Approach for Measuring Pressure in Left Auricle, Pulmonary Artery, and Aorta , Lancet 1:9, 1955.Crossref 21. Fisher, D. L.: The Use of Pressure Recordings Obtained at Transthoracic Left Heart Catheterization in the Diagnosis of Valvular Heart Disease , J. Thoracic Surg. 30:379, 1955. 22. Schnabel, T. G., Jr.; Blakemore, W. S.; Kuo, P. T., and Langfield, S. B.: Left Heart Catheterization in Aortic and Mitral Disease , J. Clin. Invest. 34:915, 1955. 23. Wright, J. L.: Comparison of Effective Stroke Volume and Simultaneously Recorded Left Ventricular, Aortic, and Radial Arterial Pressure Pulses in Aortic Stenosis in Man , Fed. Proc. 15: 204, 1956. 24. Goldberg, H.; Smith, R.; Dickens, J.; Raber, G, and Waldow, A.: Simultaneous Catheterization of the Left and Right Heart , J. Clin. Invest. 35:706, 1956. 25. Hecht, H. H., and Lange, R. L.: Four Chamber Catheterization for Quantitation of Valvular Deformities with Particular Reference to Mitral Stenosis , J. Clin. Invest. 35:709, 1956. 26. Ungerleider, H. E., and Clark, C. P.: Study of Transverse Diameter of Heart Silhouette with Prediction Table Based on Teleoroentgenogram , Am. Heart J. 17:92, 1939.Crossref 27. Healey, R. F.; Dow, J. W.; Sosman, M. C., and Dexter, L.: The Relationship of the Roentgenographic Appearance of the Pulmonary Artery to Pulmonary Hemodynamics , Am. J. Roentgenol. 62:777, 1949. 28. Kinsman, J. M.; Moore, J. W., and Hamilton, W. F.: Studies on the Circulation: I. Injection Method; Physical and Mathematical Considerations , Am. J. Physiol. 89:322, 1929. 29. Gorlin, R., and Gorlin, S. G.: Hydraulic Formula for Calculation of the Area of the Stenotic Mitral Valve, Other Cardiac Valves, and Central Circulatory Shunts , Am. Heart J. 41:1, 1951.Crossref 30. Dexter, L.; Wittenberger, J. L.; Haynes, F. W.; Goodale, W. T.; Gorlin, R., and Sawyer, C. G.: Effect of Exercise on Circulatory Dynamics of Normal Individuals , J. Appl. Physiol. 3:439, 1951. 31. Sokolow, M., and Lyon, T. P.: The Ventricular Complex in Left Ventricular Hypertrophy as Obtained by Unipolar Precordial and Limb Leads , Am. Heart J. 37:161, 1949.Crossref 32. McMillan, I. K. R.: Aortic Stenosis: A Post-Mortem Cinephotographic Study of Valve Action , Brit. Heart J. 17:56, 1955.Crossref 33. Harrison, T. R., cited by Contratto.9 34. Eliasch, H.; Lagerlöf, H.; Bucht, H.; Ek, J.; Eriksson, K.; Bergstrom, J., and Werko, L.: Comparison of the Dye Dilution and Direct Fick Methods for Measurement of Cardiac Output in Man , Scandinav. J. Clin. & Lab. Invest. 7:73, 1955. 35. Wiggers, C. J.: Physiology in Health and Disease , Philadelphia, Lea & Febiger, 1934. 36. Rushmer, R. F.: Cardiac Diagnosis , Philadelphia, W. B. Saunders Company, 1955. 37. Lewis, B. M.; Houssay, H. E. J.; Haynes, F. W., and Dexter, L.: The Dynamics of Both Right and Left Ventricles at Rest and During Exercise in Patients with Heart Failure , Circulation Res. 1:312, 1953. 38. Dow, P.: The Development of the Anacrotic and Tardus Pulse of Aortic Stenosis , Am. J. Physiol. 131:432, 1940. 39. Blumgart, H. L.; Freedberg, A. S., and Kurland, G. S.: Treatment of Incapacitated Euthyroid Cardiac Patients with Radioactive Iodine: Summary of Results in Treatment of 1070 Patients with Angina Pectoris or Congestive Failure , J. A. M. A. 157:1, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

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References (38)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1958.00260140086014
Publisher site
See Article on Publisher Site

Abstract

Abstract Progress in the development of surgical techniques for the treatment of aortic stenosis has provided a new challenge to physicians.1-4 The increasing number of patients undergoing aortic valve surgery is a clear indication that management of patients with this lesion includes the evaluation and selection of candidates for surgical intervention.5-8 Experience in other forms of operable heart disease has shown that the proper selection of patients for surgery depends on the fulfillment of three requirements: (1) that the descriptive aspects and life history of the disease be well established; (2) that the pathologic physiology of the lesion be known; (3) that a quantitative estimate of severity can be made, either clinically or with the aid of special techniques. The first requirement is abundantly fulfilled by the many excellent studies dealing with the clinical aspects and clinicopathologic correlations in aortic stenosis.9-12 Most of these studies, however, were not References 1. Bailey, C. P.; Bolton, H. E.; Jamison, W. L., and Nichols, H. T.: Commissurotomy for Rheumatic Aortic Stenosis: I. Surgery , Circulation 9:22, 1954.Crossref 2. Mueller, W. H., Jr.; Kattus, A. A.; Dammann, J. F., Jr., and Smith, R. T.: Experiences in the Surgical Treatment of Aortic Stenosis , J. Thoracic Surg. 28:516, 1954. 3. Glover, R. P.: The Present Status of Surgery for Aortic Stenosis , Minnesota Med. 37:167, 1954. 4. Sarnoff, S. J.; Donovan, T. J., and Case, R. B.: The Surgical Relief of Aortic Stenosis by Means of Apical-Aortic Valvular Anastomosis , Circulation 11:564, 1955.Crossref 5. Likoff, W.; Berkowitz, D.; Denton, C.; Goldberg, H., and Reale, A.: Transventricular Commissurotomy in Aortic Stenosis: Clinical Evaluation , J. A. M. A. 157:1367, 1955.Crossref 6. Uricchio, J. F.; Litwak, R.; Denton, C.; Goldberg, H., and Likoff, W.: A Medical Appraisal of Transaortic Commissurotomy , Ann. Int. Med. 44:844, 1956.Crossref 7. Black, H., and Harken, D. E.: Safe Conduct of the Patient Through Cardiac Surgery, with Special Reference to Diseases of the Mitral and Aortic Valves , New England J. Med. 251:45, 1954.Crossref 8. Ellis, L. B.; Abelmann, W. H., and Harken, D. E.: Selection of Patients for Mitral and Aortic Valvuloplasty , Circulation 15:924, 1957.Crossref 9. Contratto, A. W., and Levine, S. A.: Aortic Stenosis, with Special Reference to Angina Pectoris and Syncope , Ann. Int. Med. 10:1036, 1937. 10. Kumpe, C. W., and Bean, W. B.: Aortic Stenosis: A Study of the Clinical and Pathologic Aspects of 107 Proved Cases , Medicine 27:139, 1948.Crossref 11. Bergeron, J.; Abelmann, W. H.; Vazquez-Milan, H., and Ellis, L. B.: Aortic Stenosis-Clinical Manifestations and Course of the Dis- ease: Review of 100 Proved Cases , A. M. A. Arch. Int. Med. 94:911, 1954.Crossref 12. Mitchell, A. M.; Sackett, C. H.; Hunzicker, W. J., and Levine, S. A.: The Clinical Features of Aortic Stenosis , Am. Heart J. 48:684, 1954.Crossref 13. Katz, L. N.; Ralli, E. P., and Cheer, S. N.: The Cardiodynamic Changes in the Aorta and Left Ventricle Due to Stenosis of the Aorta , J. Clin. Invest. 5:205, 1928.Crossref 14. Goldberg, H.; Bakst, A. A., and Bailey, C. P.: The Dynamics of Aortic Valvular Disease , Am. Heart J. 47:527, 1954.Crossref 15. Gorlin, R.; McMillan, I. K. R.; Medd, W. E.; Matthews, M. B., and Daley, R.: Dynamics of the Circulation in Aortic Valvular Disease , Am. J. Med. 18:855, 1955.Crossref 16. Facquet, J.; Lemoine, J. M.; Alhomme, P., and Lefebvre, J.: La mesure de la pression auriculaire gauche par voie transbronchique , Arch. mal. cœur 8:741, 1952. 17. Björk, V. O.; Malmström, G., and Uggla, L. G.: Left Auricular Pressure Measurements in Man , Ann. Surg. 138:718, 1953.Crossref 18. Björk, V. O.; Blakemore, W. S., and Malmström, G.: Left Ventricular Pressure Measurement in Man: New Method , Am. Heart T. 48:197, 1954.Crossref 19. Allison, P. R., and Linden, R. J.: Bronchoscopic Measurement of Left Auricular Pressure , Circulation 7:669, 1953.Crossref 20. Allison, P. R., and Linden, R. J.: Bronchoscopic Approach for Measuring Pressure in Left Auricle, Pulmonary Artery, and Aorta , Lancet 1:9, 1955.Crossref 21. Fisher, D. L.: The Use of Pressure Recordings Obtained at Transthoracic Left Heart Catheterization in the Diagnosis of Valvular Heart Disease , J. Thoracic Surg. 30:379, 1955. 22. Schnabel, T. G., Jr.; Blakemore, W. S.; Kuo, P. T., and Langfield, S. B.: Left Heart Catheterization in Aortic and Mitral Disease , J. Clin. Invest. 34:915, 1955. 23. Wright, J. L.: Comparison of Effective Stroke Volume and Simultaneously Recorded Left Ventricular, Aortic, and Radial Arterial Pressure Pulses in Aortic Stenosis in Man , Fed. Proc. 15: 204, 1956. 24. Goldberg, H.; Smith, R.; Dickens, J.; Raber, G, and Waldow, A.: Simultaneous Catheterization of the Left and Right Heart , J. Clin. Invest. 35:706, 1956. 25. Hecht, H. H., and Lange, R. L.: Four Chamber Catheterization for Quantitation of Valvular Deformities with Particular Reference to Mitral Stenosis , J. Clin. Invest. 35:709, 1956. 26. Ungerleider, H. E., and Clark, C. P.: Study of Transverse Diameter of Heart Silhouette with Prediction Table Based on Teleoroentgenogram , Am. Heart J. 17:92, 1939.Crossref 27. Healey, R. F.; Dow, J. W.; Sosman, M. C., and Dexter, L.: The Relationship of the Roentgenographic Appearance of the Pulmonary Artery to Pulmonary Hemodynamics , Am. J. Roentgenol. 62:777, 1949. 28. Kinsman, J. M.; Moore, J. W., and Hamilton, W. F.: Studies on the Circulation: I. Injection Method; Physical and Mathematical Considerations , Am. J. Physiol. 89:322, 1929. 29. Gorlin, R., and Gorlin, S. G.: Hydraulic Formula for Calculation of the Area of the Stenotic Mitral Valve, Other Cardiac Valves, and Central Circulatory Shunts , Am. Heart J. 41:1, 1951.Crossref 30. Dexter, L.; Wittenberger, J. L.; Haynes, F. W.; Goodale, W. T.; Gorlin, R., and Sawyer, C. G.: Effect of Exercise on Circulatory Dynamics of Normal Individuals , J. Appl. Physiol. 3:439, 1951. 31. Sokolow, M., and Lyon, T. P.: The Ventricular Complex in Left Ventricular Hypertrophy as Obtained by Unipolar Precordial and Limb Leads , Am. Heart J. 37:161, 1949.Crossref 32. McMillan, I. K. R.: Aortic Stenosis: A Post-Mortem Cinephotographic Study of Valve Action , Brit. Heart J. 17:56, 1955.Crossref 33. Harrison, T. R., cited by Contratto.9 34. Eliasch, H.; Lagerlöf, H.; Bucht, H.; Ek, J.; Eriksson, K.; Bergstrom, J., and Werko, L.: Comparison of the Dye Dilution and Direct Fick Methods for Measurement of Cardiac Output in Man , Scandinav. J. Clin. & Lab. Invest. 7:73, 1955. 35. Wiggers, C. J.: Physiology in Health and Disease , Philadelphia, Lea & Febiger, 1934. 36. Rushmer, R. F.: Cardiac Diagnosis , Philadelphia, W. B. Saunders Company, 1955. 37. Lewis, B. M.; Houssay, H. E. J.; Haynes, F. W., and Dexter, L.: The Dynamics of Both Right and Left Ventricles at Rest and During Exercise in Patients with Heart Failure , Circulation Res. 1:312, 1953. 38. Dow, P.: The Development of the Anacrotic and Tardus Pulse of Aortic Stenosis , Am. J. Physiol. 131:432, 1940. 39. Blumgart, H. L.; Freedberg, A. S., and Kurland, G. S.: Treatment of Incapacitated Euthyroid Cardiac Patients with Radioactive Iodine: Summary of Results in Treatment of 1070 Patients with Angina Pectoris or Congestive Failure , J. A. M. A. 157:1, 1955.

Journal

A.M.A. Archives of Internal MedicineAmerican Medical Association

Published: Feb 1, 1958

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