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TREATMENT OF MITRAL VALVE STENOSIS BY RESECTION AND REPLACEMENT OF VALVE UNDER DIRECT VISION

TREATMENT OF MITRAL VALVE STENOSIS BY RESECTION AND REPLACEMENT OF VALVE UNDER DIRECT VISION Abstract THE IMPETUS to cardiac surgery, initiated chiefly by the work of Blalock,1 has expanded beyond the work on great vessels so that the field now has spread to involve intracardiac procedures such as closure of septal defects,2 repair of stenosed valves3 and resection of coronary infarcts.4 The early work of resection of portions of stenosed valves by Cutler5 and of dilation by Souttar6 gave promising results, but it was soon found that in the presence of deranged cardiac function with an enlarged auricle, the regurgitation which followed resection of valves sometimes precipitated a condition which was worse than that existing from the stenosis alone. While the stenosis could be relieved, the regurgitation precipitated a state of failure in most of the patients. The work of Samways,7 Brunton,8 Cushing and Branch,9 Bernheim,10 Schepelmann,11 Allen and Graham,12 Cutler, Levine and References 1. Blalock, A., and Taussig, H. B.: The Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis or Pulmonary Atresia , J. A.M. A. 128:189-202 ( (May 19) ) 1945.Crossref 2. Murray, G.: Closure of Defects in Cardiac Septa , Ann. Surg. 128:843-853, 1948.Crossref 3. Murray, G.; Wilkinson, F. R., and MacKenzie, R.: Reconstruction of the Valve of the Heart , Canad. M. A. J. 38:317-319, 1938. 4. Murray, G.: The Pathophysiology of the Cause of Death from Coronary Thrombosis , Ann. Surg. 126:523-534, 1947.Crossref 5. Cutler, E. C., and Beck, C. S.: The Present Status of the Surgical Procedures in Chronic Valvular Disease of the Heart: Final Report of All Operative Cases , Arch. Surg. 18:403-416 (Jan., (pt. 2) ) 1929.Crossref 6. Souttar, P.: Surgical Treatment of Mitral Stenosis , Brit. M. J. 2:603-606, 1925.Crossref 7. Samways, D. W.: Cardiac Peristalsis: Its Nature and Effects , Lancet 1:927, 1898.Crossref 8. Brunton, L.: Preliminary Note on the Possibility of Treating Mitral Stenosis by Surgical Methods , Lancet 1:352, 1902.Crossref 9. Cushing, H., and Branch, J. R. B.: Experimental and Clinical Notes on Chronic Valvular Lesions in the Dog and Relation to Future Surgery of Cardiac Valves , J. M. Research 17:471-486, 1907-1908. 10. Bernheim, B. M.: Experimental Surgery of the Mitral Valve , Bull. Johns Hopkins Hosp. 20:107-110, 1909. 11. Schepelmann, E.: Versuche zur Herzchirurgie , Arch. f. klin. Chir. 97:739-775, 1912. 12. Allen, D. S., and Graham, E. A.: Intracardiac Surgery—A New Method: Preliminary Report , J. A. M. A. 79:1028-1030 ( (Sept. 23) ) 1922.Crossref 13. Cutler, E. C.; Levine, S. A., and Beck, C. S.: The Surgical Treatment of Mitral Stenosis: Experimental and Clinical Studies , Arch. Surg. 9:689-821 (Nov., (pt. 2) ) 1924.Crossref 14. Pribram, B. O. Z.: Die operative Behandlung des Mitralstenose , Arch. f. klin. Chir. 142:458-465, 1926. 15. Allen, D. S.: Chirurgie de la sténose mitrale , Arch. franco-belges de chir. 28:394-431, 1925. 16. Tuffier, T.: La chirurgie du cœur, Cinquiéme congrés de la Société internationale de chirurgie, Paris, July 19-23, 1920 , Rapports, procésverbaux et discusisons publiés par le Docteur L. Mayer , Brussels, M. Hayez, 1921, pp. 5-75. 17. Doyen, E.: Chirurgie des malformations congénitales ou acquisés du cœur , Presse méd. 21:860, 1913. 18. Powers, J. H.: The Experimental Production of Mitral Stenosis , Arch. Surg. 18:1945-1959 ( (April) ) 1929.Crossref 19. Harken, D. E.: Experiments in Intracardiac Surgery , J. Thoracic Surg. 11:656-670, 1942. 20. Carrel, A.: On the Experimental Surgery of the Thoracic Aorta and the Heart , Ann. Surg. 52:83, 1910.Crossref 21. Haecker, R.: Experimentelle Studien zur Pathologie und Chirurgie des Herzens , Arch. f. klin. Chir. 84:1035-1098, 1907. 22. Björk, V. O.: Brain Perfusions in Dogs with Artificially Oxygenated Blood , Acta chir. Scandinav. ( (supp. 137) ) 96:1-122, 1948. 23. Shaw, M. M.; Adams, W. E.; Rasmussen, R. A.; Hrdina, L. S., and Aronson, H. G.: Experimental Production of Insufficiency and Stenosis of the Heart Valves of Dogs , J. Thoracic Surg. 12:322-337, 1943. 24. Templeton, J. Y., and Gibbon, J. H.: Experimental Reconstruction of Cardiac Valves by Venous and Pericardial Grafts , Ann. Surg. 129:161-176. 1949.Crossref 25. Material quoted here is reprinted from the Canadian Medical Association Journal 64:444-447, 1950. 26. Smithy, H. G., and Parker, E. F.: Experimental Aortic Valvulotomy: Preliminary Report , Surg., Gynec. & Obst. 84:625-628, 1947. 27. Smithy, H. G.; Boone, J. A., and Stallworth, J. M.: Surgical Treatment of Constrictive Valvular Disease of the Heart , Surg., Gynec. & Obst. 90:175-192, 1950. 28. Murray, G.: Heparin in Thrombosis and Embolism , Brit. J. Surg. 27:567-598, 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

TREATMENT OF MITRAL VALVE STENOSIS BY RESECTION AND REPLACEMENT OF VALVE UNDER DIRECT VISION

A.M.A. Archives Surgery , Volume 61 (5) – Nov 1, 1950

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1950.01250020911012
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Abstract

Abstract THE IMPETUS to cardiac surgery, initiated chiefly by the work of Blalock,1 has expanded beyond the work on great vessels so that the field now has spread to involve intracardiac procedures such as closure of septal defects,2 repair of stenosed valves3 and resection of coronary infarcts.4 The early work of resection of portions of stenosed valves by Cutler5 and of dilation by Souttar6 gave promising results, but it was soon found that in the presence of deranged cardiac function with an enlarged auricle, the regurgitation which followed resection of valves sometimes precipitated a condition which was worse than that existing from the stenosis alone. While the stenosis could be relieved, the regurgitation precipitated a state of failure in most of the patients. The work of Samways,7 Brunton,8 Cushing and Branch,9 Bernheim,10 Schepelmann,11 Allen and Graham,12 Cutler, Levine and References 1. Blalock, A., and Taussig, H. B.: The Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis or Pulmonary Atresia , J. A.M. A. 128:189-202 ( (May 19) ) 1945.Crossref 2. Murray, G.: Closure of Defects in Cardiac Septa , Ann. Surg. 128:843-853, 1948.Crossref 3. Murray, G.; Wilkinson, F. R., and MacKenzie, R.: Reconstruction of the Valve of the Heart , Canad. M. A. J. 38:317-319, 1938. 4. Murray, G.: The Pathophysiology of the Cause of Death from Coronary Thrombosis , Ann. Surg. 126:523-534, 1947.Crossref 5. Cutler, E. C., and Beck, C. S.: The Present Status of the Surgical Procedures in Chronic Valvular Disease of the Heart: Final Report of All Operative Cases , Arch. Surg. 18:403-416 (Jan., (pt. 2) ) 1929.Crossref 6. Souttar, P.: Surgical Treatment of Mitral Stenosis , Brit. M. J. 2:603-606, 1925.Crossref 7. Samways, D. W.: Cardiac Peristalsis: Its Nature and Effects , Lancet 1:927, 1898.Crossref 8. Brunton, L.: Preliminary Note on the Possibility of Treating Mitral Stenosis by Surgical Methods , Lancet 1:352, 1902.Crossref 9. Cushing, H., and Branch, J. R. B.: Experimental and Clinical Notes on Chronic Valvular Lesions in the Dog and Relation to Future Surgery of Cardiac Valves , J. M. Research 17:471-486, 1907-1908. 10. Bernheim, B. M.: Experimental Surgery of the Mitral Valve , Bull. Johns Hopkins Hosp. 20:107-110, 1909. 11. Schepelmann, E.: Versuche zur Herzchirurgie , Arch. f. klin. Chir. 97:739-775, 1912. 12. Allen, D. S., and Graham, E. A.: Intracardiac Surgery—A New Method: Preliminary Report , J. A. M. A. 79:1028-1030 ( (Sept. 23) ) 1922.Crossref 13. Cutler, E. C.; Levine, S. A., and Beck, C. S.: The Surgical Treatment of Mitral Stenosis: Experimental and Clinical Studies , Arch. Surg. 9:689-821 (Nov., (pt. 2) ) 1924.Crossref 14. Pribram, B. O. Z.: Die operative Behandlung des Mitralstenose , Arch. f. klin. Chir. 142:458-465, 1926. 15. Allen, D. S.: Chirurgie de la sténose mitrale , Arch. franco-belges de chir. 28:394-431, 1925. 16. Tuffier, T.: La chirurgie du cœur, Cinquiéme congrés de la Société internationale de chirurgie, Paris, July 19-23, 1920 , Rapports, procésverbaux et discusisons publiés par le Docteur L. Mayer , Brussels, M. Hayez, 1921, pp. 5-75. 17. Doyen, E.: Chirurgie des malformations congénitales ou acquisés du cœur , Presse méd. 21:860, 1913. 18. Powers, J. H.: The Experimental Production of Mitral Stenosis , Arch. Surg. 18:1945-1959 ( (April) ) 1929.Crossref 19. Harken, D. E.: Experiments in Intracardiac Surgery , J. Thoracic Surg. 11:656-670, 1942. 20. Carrel, A.: On the Experimental Surgery of the Thoracic Aorta and the Heart , Ann. Surg. 52:83, 1910.Crossref 21. Haecker, R.: Experimentelle Studien zur Pathologie und Chirurgie des Herzens , Arch. f. klin. Chir. 84:1035-1098, 1907. 22. Björk, V. O.: Brain Perfusions in Dogs with Artificially Oxygenated Blood , Acta chir. Scandinav. ( (supp. 137) ) 96:1-122, 1948. 23. Shaw, M. M.; Adams, W. E.; Rasmussen, R. A.; Hrdina, L. S., and Aronson, H. G.: Experimental Production of Insufficiency and Stenosis of the Heart Valves of Dogs , J. Thoracic Surg. 12:322-337, 1943. 24. Templeton, J. Y., and Gibbon, J. H.: Experimental Reconstruction of Cardiac Valves by Venous and Pericardial Grafts , Ann. Surg. 129:161-176. 1949.Crossref 25. Material quoted here is reprinted from the Canadian Medical Association Journal 64:444-447, 1950. 26. Smithy, H. G., and Parker, E. F.: Experimental Aortic Valvulotomy: Preliminary Report , Surg., Gynec. & Obst. 84:625-628, 1947. 27. Smithy, H. G.; Boone, J. A., and Stallworth, J. M.: Surgical Treatment of Constrictive Valvular Disease of the Heart , Surg., Gynec. & Obst. 90:175-192, 1950. 28. Murray, G.: Heparin in Thrombosis and Embolism , Brit. J. Surg. 27:567-598, 1940.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Nov 1, 1950

References