Severe Aortic Stenosis in Adults: Evaluation by Clinical and Physiologic Criteria, and Results of Surgical Treatment

Article1 September 1959SEVERE AORTIC STENOSIS IN ADULTS: EVALUATION BY CLINICAL AND PHYSIOLOGIC CRITERIA, AND RESULTS OF SURGICAL TREATMENTWALTER H. ABELMANN, M.D., LAURENCE B. ELLIS, M.D., F.A.C.P.WALTER H. ABELMANN, M.D., LAURENCE B. ELLIS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-3-449 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSix years ago, when surgery for aortic stenosis was little more than a daring experiment, we became interested in the clinical and physiologic aspects of this disease. Our first study,1a retrospective analysis of 100 cases proved by autopsy at the Boston City Hospital, showed, first, that it occurs relatively commonly, being present in 1.9% of all autopsies, and, second, that the diagnosis was missed during life in no less than half of the cases studied. Furthermore, a review of symptoms, physical signs, as well as of the roentgenographic and electrocardiographic findings revealed that it was most difficult, if not...Bibliography1. BergeronAbelmannVazquez-MilanEllis JWHHLB: Aortic stenosis—clinical manifestations and course of the disease. Review of one hundred proved cases, Arch. Int. Med. 94: 911-924, 1954. CrossrefGoogle Scholar2. HancockAbelmann EWWH: A clinical study of the brachial arterial pulse form, with special reference to the diagnosis of aortic valvular disease, Circulation 16: 572-581, 1957. CrossrefMedlineGoogle Scholar3. BjörkMalmstromUggla VOGLG: Left auricular pressure measurements in man, Ann. Surg. 138: 718-725, 1953. CrossrefMedlineGoogle Scholar4. GorlinGorlin RSG: Hydraulic formula for calculation of area of stenotic mitral valve, other cardiac valves, and central circulatory shunts, Am. Heart J. 41: 1-29, 1951. CrossrefMedlineGoogle Scholar5. 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HarkenBlackTaylorThrowerSoroff DEHWJWBHS: The surgical correction of calcific aortic stenosis in adults, J. Thoracic Surg. 36: 759-776, 1958. CrossrefGoogle Scholar11. KatznelsonJreissatyLevinsonAbelmannEllis GRMGEWHLB: Clinical picture of combined aortic and mitral stenosis, Circulation 18: 740, 1958. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication May 16, 1959.Presented at the Fortieth Annual Session of The American College of Physicians, Chicago, Illinois, April 20, 1959.From the Thorndike Memorial Laboratory and Second and Fourth (Harvard) Medical Services, Boston City Hospital, and the Department of Medicine, Harvard Medical School, Boston, Massachusetts.†This study was supported by grants No. H442 and HTS5244 from the National Heart Institute, National Institutes of Health, Public Health Service.‡Established investigator, American Heart Association.Requests for reprints should be addressed to Laurence B. Ellis, M.D., Heart Station, Boston City Hospital, Boston, Massachusetts. 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LUKE GLANCY, M.D., F.A.C.P., THOMAS A. FREED, M.D., KEVIN P. O'BRIEN, M.B., M.R.C.P., STEPHEN E. EPSTEIN, M.D.The Effect of Nitroglycerin on Left Ventricular Wall Tension in Fixed Orifice Aortic StenosisA CLINICAL SURVEY OF 20 PATIENTS SUBMITTED TO AORTIC VALVULOPLASTYAortic stenosis in adults. Evaluation of diagnostic criteria in the selection of patients for surgical treatmentCONGENITAL AORTIC STENOSIS OPERATIVE INDICATIONS AND SURGICAL RESULTSEvaluation of surgical treatment of acquired and congenital aortic stenosisCombined aortic and mitral stenosisOpen Operation in the Treatment of Calcific Aortic Stenosis 1 September 1959Volume 51, Issue 3Page: 449-460KeywordsAutopsyElectrocardiographyHeartHospital medicineMedical servicesResearch laboratoriesSigns and symptomsStenosisSurgerySyncope Issue Published: 1 September 1959 PDF downloadLoading ...