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Abstract
The technique of mitral valvulotomy employed in twenty-one consecutive patients with
mitral stenosis is presented. An anterior fourth intercostal space incision with division
of the fourth costal cartilage has provided satisfactory exposure. The maneuvers of
introduction and withdrawal of the finger without blood loss are described briefly.
Digital dissection of the commissures is the standard procedure, but on occasion a
valvulotome may be necessary to initiate the division of the commissures. Closure
of the auricular appendage is done with multiple interrupted sutures. The amputated
auricular appendage and a lung biopsy are studied for characteristic histologic changes.
The use of procaine hydrochloride as intravenous injection, pericardial instillation,
or myocardial infiltration has not been found necessary. Instead, quinidine is employed
to reduce the complications produced by cardiac arrhythmias.
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References
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Article info
Publication history
Received:
March 3,
1952
Identification
Copyright
© 1952 Published by Elsevier Inc.
