A Medical Appraisal of Transaortic Commissurotomy

Article1 May 1956A MEDICAL APPRAISAL OF TRANSAORTIC COMMISSUROTOMYJOSEPH F. URICCHIO, M.D., ROBERT LITWAK, M.D., CLARENCE DENTON, M.D., HARRY GOLDBERG, M.D., WILLIAM LIKOFF, M.D., F.A.C.P.JOSEPH F. URICCHIO, M.D., ROBERT LITWAK, M.D., CLARENCE DENTON, M.D., HARRY GOLDBERG, M.D., WILLIAM LIKOFF, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-5-844 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe first surgical method to correct commissural fusion of rheumatic aortic stenosis was conceived and employed by Bailey in 1950.1 It was termed transventricular commissurotomy, because the operation required an entrance into the left ventricular cavity through its muscular wall for the passage of a dilator which engaged the valve from below and forcefully separated the leaflets.The recent review by Likoff and associates2of the clinical results of this technic in 79 patients, 65 of whom had aortic stenosis alone or combined with adynamic aortic regurgitation, reported an immediate operative mortality of 18% when the stenosis was not...Bibliography1. BaileyGloverO'NeillRedondo-Ramirez CPRPTJHP: Experiences with experimental surgical relief of aortic stenosis: a preliminary report, J. Thoracic Surg. 20: 156, 1950. CrossrefGoogle Scholar2. LikoffBerkowitzDentonGoldbergReale WDCHA: Transventricular aortic commissurotomy in aortic stenosis: a clinical evaluation, J. A. M. A. 157: 1367, 1955. CrossrefMedlineGoogle Scholar3. BaileyBoltonJamisonLarzalere CPHEWLHB: Commissurotomy for aortic stenosis, J. Internat. Coll. Surgeons 20: 393, 1953. MedlineGoogle Scholar4. Bailey CP: Surgery of the heart, 1955, Lea and Febiger, Philadelphia. Google Scholar5. Litwak R: Further experiences in the surgical management of rheumatic aortic stenosis. II. Correlative study of valvular morphology and clinical result, to be published. Google Scholar6. KatzRalliCheer LNEPSN: The cardiodynamic changes in the aorta and left ventricle due to stenosis of the aorta, J. Clin. Investigation 5: 205, 1927. CrossrefGoogle Scholar7. GoldbergBakstDeVeraBailey HAALBCP: The dynamics of aortic valvular disease, Am. Heart J. 47: 527, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication October 5, 1955.From the Departments of Medicine and Thoracic Surgery, Hahnemann Medical College and Hospital, and the Department of Medicine of the Bailey Thoracic Clinic, Philadelphia. Pennsylvania.†National Heart Institute Trainee. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMilitary Communities and Temple Patronage: A Case Study of Britain and PannoniaSurgery of the Aortic Valve Before the Era of Cardiopulmonary BypassBacterial Endocarditis with Ventricular Aneurysm Formation Six Years Following Mitral CommissurotomyMycotic Endocarditis Following Intracardiac OperationsBacterial Endocarditis Following Surgery for Congenital Heart DiseaseErworbene HerzklappenfehlerCombined mitral and aortic stenosisThe hemodynamic results of surgery for aortic stenosisBASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSIS*†GEORGES DAOUD, M.D., EDMUND H. REPPERT JR., M.D., J. SCOTT BUTTERWORTH, M.D., F.A.C.P.BACTERIAL AND MYCOTIC ENDOCARDITIS FOLLOWING CARDIAC SURGERYProgress in cardiac surgery: General survey-indications for surgery, surgical risk and resultsAortic commissurotomy: a physiologic evaluation by combined heart catheterizationA Clinical Study of the Brachial Arterial Pulse Form 1 May 1956Volume 44, Issue 5Page: 844-860KeywordsBacterial physiologyDyspneaElectrocardiographyEndocarditisHeartHospital medicineMortalityStenosisSyncopeThoracic surgery ePublished: 1 December 2008 Issue Published: 1 May 1956 PDF downloadLoading ...