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Surgical Management of Aortic StenosisAn Evaluation of Techniques and Results
CHARLES P. BAILEY, M.D.;
WILLIAM LIKOFF, M.D.
AMA Arch Intern Med. 1957;99(6):859-887.
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Definition
While the term "aortic stenosis" appropriately might be applied to any one of several states in which the aorta or its first portion is congenitally hypoplastic or generally narrowed as the result of acquired disease, it usually is employed to designate a significant constriction of the orifice of the aortic valve itself. Congenital obstruction or narrowing of the left ventricular outflow tract, whether caused by a membrane, by a muscular shelf, or by simple hypoplasia, is referred to as subaortic stenosis, although in these same cases the valve itself also may be maldeveloped or hypoplastic. Anatomical aortic valvular stenosis usually implies stiffening of the leaflets or mutual cross adherence of their free margins with consequent reduction in the size of the valve aperture due to commissural obliteration.
Since aortic stenosis is one of the most common of the various valvular deformities produced by rheumatic fever, being second in frequency
. . . [Full Text PDF of this Article]
Author Affiliations
Philadelphia
Professor and Head of Department of Thoracic Surgery, Hahnemann Medical College and Hospital, and Director, Bailey Thoracic Clinic (Dr. Bailey); Associate Professor, Department of
Footnotes
Submitted for publication Aug. 9, 1956.
All the physiological data were supplied by the Brith Sholom Cardiopulmonary Laboratory, Hahnemann Medical College and Hospital.
Read before the Section on Internal Medicine at the 105th Annual Meeting of the American Medical Association, Chicago, June 13, 1956.
Medicine, Hahnemann Medical College and Hospital, and Chief of Cardiology, Bailey Thoracic Clinic (Dr. Likoff).
The research work required for the perfection of the surgical techniques described and for the development of the Friedland-Gemeinhardt extracorporeal circulatory apparatus was carried out in the laboratories of the Cardiovascular Institute of the Hahnemann Medical College and Hospital and was supported, in part, by a Grant from the National Heart Institute and by the Mary Bailey Foundation for Heart and Great Vessel Research.
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