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Obstruction to Outflow Tract of Left Ventricle
HENRY D. McINTOSH, M.D.;
WILL C. SEALY, M.D.;
ROBERT E. WHALEN, M.D.;
ALLAN I. COHEN, M.D.;
ROBERT G. SUMNER, M.D.
Arch Intern Med. 1962;110(3):312-322.
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In 1854 William Stokes1 described "Extreme Ossific Disease of the Aortic Orifice." After describing the classical findings, he concluded that:
The practitioner must be prepared to meet with many cases which he will be unable to diagnose... for the complications of heart disease are so numerous and varied that it becomes impossible to determine the exact nature of every case that may come before us. Fortunately, it is unnecessary to do so for, if we can be certain that organic disease really exists, the treatment will depend less and less on the nature of the valvular affliction than on the vital and anatomical state of the heart itself... the practical physician, knowing these things, will not feel that the difficulties of the subject reflect disgrace upon his art, when he considers that the great end of medicine is the proper treatment of the patient, rather than the exhibition of
. . . [Full Text PDF of this Article]
Author Affiliations
DURHAM, N.C.
Cardiovascular Laboratory of The Department of Medicine, and the Cardiovascular Section of the Department of Surgery, Duke Medical Center.
Footnotes
Submitted for publication Jan. 15, 1962, accepted for publication April 6, 1962.
Supported in part by Grants H-4807, HTS 5369, and H-1782 (C7) from the National Heart Institute and H-3582 and M-2109 from the Duke Medical Center for Aging, both of the National Institutes of Health, U.S. Public Health Service, and Grants-in-Aid from the Life Insurance Medical Research Fund and the Thoracic Surgery Research Fund.
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