Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

SURGICAL TREATMENT OF MITRAL STENOSIS

SURGICAL TREATMENT OF MITRAL STENOSIS Abstract SURGICAL attempts to enlarge the orifice of the mitral valve, previously constricted by disease, were consistent failures until the principle of cutting or splitting the scarred valve ring at the commissures was recognized by Bailey in 1946. At that time Bailey performed a digital dilatation of the valve in a severely ill patient and obtained a marked temporary improvement. He recognized at autopsy that the valve enlargement which had resulted from the dilatation was due to tearing directly at the location of the commissures. He and his group have since developed more accurate methods of commissurotomy to accomplish this result.1 Previously, in 1925, Souttar2 had accidentally produced a commissurotomy during digital dilatation of the mitral valve. He did not, however, realize what fundamental principle was involved. In 1948 Harken, Ellis, Ware, and Norman3 described their experiences with a procedure in which they removed a segment of the References 1. (a) Bailey, C. P.; Glover, R. P., and O'Neill, T. J. E.: The Surgery of Mitral Stenosis , J. Thoracic Surg. 19:16-45, 1950. 2. (b) Bailey, C. P.: The Surgical Treatment of Mitral Stenosis (Mitral Commissurotomy) , Dis. Chest 15:377-397, 1949.Crossref 3. (c) O'Neill, T. J. E.; Glover, R. P., and Bailey, C. P.: Observations on the Surgical Treatment of Mitral Stenosis by Commissurotomy , J. A. M. A. 147:1032-1033, 1951.Crossref 4. Souttar, P. W.: The Surgical Treatment of Mitral Stenosis , Brit. M. J. 2:603-606, 1925.Crossref 5. Harken, D. E.; Ellis, L. B.; Ware, P. F., and Norman, L. R.: The Surgical Treatment of Mitral Stenosis , New England J. Med. 239:801-809, 1948.Crossref 6. Harken, D. E.; Dexter, L.; Ellis, L. B.; Farrand, R. E., and Dickson, J. F.: The Surgery of Mitral Stenosis , Ann. Surg. 134:722-742, 1951.Crossref 7. Lam, C. R.: Commissurotomy in Mitral Stenosis , A. M. A. Arch. Surg. 63:349-361, 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/surgical-treatment-of-mitral-stenosis-BJQxfetPn8
Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020637016
Publisher site
See Article on Publisher Site

Abstract

Abstract SURGICAL attempts to enlarge the orifice of the mitral valve, previously constricted by disease, were consistent failures until the principle of cutting or splitting the scarred valve ring at the commissures was recognized by Bailey in 1946. At that time Bailey performed a digital dilatation of the valve in a severely ill patient and obtained a marked temporary improvement. He recognized at autopsy that the valve enlargement which had resulted from the dilatation was due to tearing directly at the location of the commissures. He and his group have since developed more accurate methods of commissurotomy to accomplish this result.1 Previously, in 1925, Souttar2 had accidentally produced a commissurotomy during digital dilatation of the mitral valve. He did not, however, realize what fundamental principle was involved. In 1948 Harken, Ellis, Ware, and Norman3 described their experiences with a procedure in which they removed a segment of the References 1. (a) Bailey, C. P.; Glover, R. P., and O'Neill, T. J. E.: The Surgery of Mitral Stenosis , J. Thoracic Surg. 19:16-45, 1950. 2. (b) Bailey, C. P.: The Surgical Treatment of Mitral Stenosis (Mitral Commissurotomy) , Dis. Chest 15:377-397, 1949.Crossref 3. (c) O'Neill, T. J. E.; Glover, R. P., and Bailey, C. P.: Observations on the Surgical Treatment of Mitral Stenosis by Commissurotomy , J. A. M. A. 147:1032-1033, 1951.Crossref 4. Souttar, P. W.: The Surgical Treatment of Mitral Stenosis , Brit. M. J. 2:603-606, 1925.Crossref 5. Harken, D. E.; Ellis, L. B.; Ware, P. F., and Norman, L. R.: The Surgical Treatment of Mitral Stenosis , New England J. Med. 239:801-809, 1948.Crossref 6. Harken, D. E.; Dexter, L.; Ellis, L. B.; Farrand, R. E., and Dickson, J. F.: The Surgery of Mitral Stenosis , Ann. Surg. 134:722-742, 1951.Crossref 7. Lam, C. R.: Commissurotomy in Mitral Stenosis , A. M. A. Arch. Surg. 63:349-361, 1951.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Oct 1, 1952

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month