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MITRAL COMMISSUROTOMYAn Over-All Appraisal of Clinical and Hemodynamic Results
F. HENRY ELLIS, Jr., M.D.;
JOHN W. KIRKLIN, M.D.;
ROBERT L. PARKER, M.D.;
HOWARD B. BURCHELL, M.D.;
EARL H. WOOD, M.D.
AMA Arch Intern Med. 1954;94(5):774-784.
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The RELIEF of obstructing lesions of the mitral valve by mitral commissurotomy is now a widely accepted and extremely successful procedure. Sufficient time has elapsed since this procedure was first initiated to permit a valid appraisal of the over-all results. Although symptomatic results are important, the accumulation of objective data, when possible, adds greatly to our knowledge concerning the effect of an operative procedure. Such data are available in the form of hemodynamic studies carried out before operation, during operation, and at intervals after operation on patients undergoing mitral commissurotomy. We believe that the results of these hemodynamic studies present ample explanation for the marked symptomatic improvement that fully three quarters of these patients experience following operation.
OVER-ALL EXPERIENCE
We are presenting here our experience in 131 cases of mitral stenosis in which mitral commissurotomy was performed prior to April, 1954. Surgical incision of the commissures has been employed in
. . . [Full Text PDF of this Article]
Author Affiliations
ROCHESTER, MINN.
From the Mayo Clinic and Mayo Foundation: Section of Surgery (Drs. Ellis and Kirklin), Section of Medicine (Drs. Parker and Burchell), and Section of Physiology (Dr. Wood). The Mayo Foundation is a part of the Graduate School of the University of Minnesota.
Footnotes
Read before the Section on Internal Medicine at the 103rd Annual Meeting of the American Medical Association, San Francisco, June 22, 1954.
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