The Surgical Treatment of Aortic Insufficiency

Article1 February 1955THE SURGICAL TREATMENT OF AORTIC INSUFFICIENCYCHARLES P. BAILEY, WILLIAM LIKOFF, F.A.C.P.CHARLES P. BAILEY, WILLIAM LIKOFF, F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-2-388 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONRegardless of the etiology, aortic insufficiency produces the dynamic effects of an aorticoventricular fistula which are expressed only during diastole. The abnormal communication between these two adjacent and high pressure segments of the circulatory system results in a reflux of blood into the ventricular chamber which may amount to as much as one-half or more of the systolic output. The magnitude of the incompetence determines the amount of regurgitation and the subsequent physiologic alterations in the circulation. The increased volume of blood in the left ventricular cavity during diastole produces an initial dilatation of that chamber which is followed...Bibliography1. BaileyGloverO'NeillRedondo-Ramirez CPRPTJHP: Experiences with the experimental surgical relief of aortic stenosis: a preliminary report, J. Thoracic Surg. 20: 516, 1950. CrossrefGoogle Scholar2. BaileyRedondo-RamirezLarzelere CPHPHB: Surgical treatment of aortic stenosis, J.A.M.A. 150: 1647, 1952. CrossrefMedlineGoogle Scholar3. LarzelerBailey HBCP: Aortic commissurotomy, J. Thoracic Surg. 26: 31, 1953. CrossrefGoogle Scholar4. BaileyBoltonJamisonLarzelere CPHEWLHB: Commissurotomy for aortic stenosis, J. Internat. Coll. Surgeons 20: 393, 1953. MedlineGoogle Scholar5. BaileyBoltonJamisonNichols CPHEWLHT: Commissurotomy for rheumatic aortic stenosis. I. Surgery, Circulation 9: 22, 1954. CrossrefMedlineGoogle Scholar6. SaphirScott ORW: The involvement of the aortic valve in syphilitic aortitis, Am. J. Path. 3: 527, 1927. MedlineGoogle Scholar7. Rokitansky C: A manual of pathological anatomy, Vol. 4, translated by George E. Day, 1855, Blanchard & Lea, Philadelphia. Google Scholar8. Magarey TR: Pathogenesis of mitral stenosis, Brit. M. J. 1: 856, 1951. CrossrefMedlineGoogle Scholar9. SmithyParker HGEF: Experimental aortic valvulotomy, preliminary report, Surg., Gynec. and Obst. 34: 625, 1947. Google Scholar10. Hufnagel CA: Aortic plastic valvular prosthesis, Bull., Georgetown Univ. M. Center 4: 128, 1951. MedlineGoogle Scholar11. HufnagelHarvey CAWP: The surgical correction of aortic regurgitation, Bull., Georgetown Univ. M. Center 6: 60, 1953. MedlineGoogle Scholar12. Costas-DurieuxBailey JCP: Experimental correction of aortic insufficiency. To be published. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Presented at the thirty-fifth Annual Session of the American College of Physicians, Chicago, Illinois, April 7, 1954.From the Departments of Thoracic Surgery and Medicine, Hahnemann Medical College and Hospital, and the Bailey Thoracic Clinic, Philadelphia.This work was supported by the Mary Bailey Foundation for Heart and Great Vessel Research, Philadelphia, and was significantly advanced by the generosity of the Neuman family of Philadelphia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHistory of Heart Valve RepairAortic InsufficiencyAortic valve replacementThe first mitral valve replacementReferencesThe AJC in November 1958Aortic valve replacement with autogenous aortic wallThe surgical correction of aortic regurgitationVentricular septal defect and aortic insufficiencyBacterial Endocarditis Following Cardiac SurgeryHomologous Aortic-Valve-Segment Transplants as Surgical Treatment for Aortic and Mitral Insufficiency 1 February 1955Volume 42, Issue 2Page: 388-416KeywordsBlood volumeDiastoleEtiologyFistulasHeartHospital medicinePrimary hypertensionThoracic surgery ePublished: 1 December 2008 Issue Published: 1 February 1955 PDF downloadLoading ...