Advertisement
Original communication Society for Vascular Surgery| Volume 37, ISSUE 1, P15-31, January 1955

The experimental production and correction of mitral insufficiency

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      • 1.
        1. The anatomic position of the mitral annulus has been demonstrated by dissection studies to be slightly closer to the apex of the heart than is the circumflex coronary artery.
      • 2.
        2. Traumatic mitral insufficiency has been produced in a series of dogs by valvular laceration.
      • 3.
        3. Correction of the altered dynamics has been accomplished by plication of the annulus from the epicardial surface of the left ventricle, without compromising the coronary circulation.
      • 4.
        4. Creation and elimination of the regurgitant jet has been documented by intracardiac palpation and pressure tracings.
      • 5.
        5. The relationship between these results and the treatment of human rheumatic mitral insufficiency has been discussed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bailey C.P.
        • Jamison W.L.
        • Nichols H.T.
        • Bakst A.
        The Surgical Correction of Mitral Insufficiency by Valvular Suturing, presented at the 34th Annual Meeting, American Association for Thoracic Surgery, MontrealMay 5, 1954
        • Harken D.E.
        • Black H.
        • Ellis L.B.
        • Dexter L.
        The Surgical Correction of Mitral Insufficiency, presented at the 34th Annual Meeting, Association for Thoracic Surgery, MontrealMay 5, 1954
        • Carter M.G.
        • Gould J.M.
        • Mann Jr., B.F.
        Surgical Treatment of Mitral Insufficiency.
        J. Thoracic Surg. 1953; 26: 574
        • John T.N.P.
        • Blalock A.
        Mitral Insufficiency. The Experimental Use of a Polyvinyl Sponge Prosthesis, presented before the American Surgical Association, ClevelandApril 28, 1954
      1. Discussion of references 1 and 2, by Ripstein, C. B., Dodrill, F. D., O'Neill, J. F., and Kay, E. B.

        • Kantrowitz A.
        • Hurwitt E.S.
        • Herskovitz A.
        A Cinematographic Study of the Function of the Mitral Valve in Situ.
        in: Proc. Surg. Forum, Clin. Congress Am. Coll. Surgeons, 1951 W. B. Saunders Company, Philadelphia1952: 204
        • Connolly J.E.
        Experimental Mitral Stenosis. I. A Method for Its Production in the Dog.
        in: Proc. Surg. Forum, Clin. Congress Am. Coll. Surgeons, 1950 W. B. Saunders Company, Philadelphia1951: 234
        • Ferrin A.L.
        • Adams W.L.
        • Baronofsky I.D.
        Evaluation of Experimental Methods of Producing Functional Mitral Stenosis.
        in: Proc. Surg. Forum, Clin. Congress Am. Coll. Surgeons, 1951 W. B. Saunders Company, Philadelphia1952: 206
        • Davila J.C.
        • Mattson Jr., W.W.
        • O'Neill T.J.E.
        • Glover R.P.
        A Method for the Surgical Correction of Mitral Insufficiency. I. Preliminary Considerations.
        Surg., Gynec. & Obst. 1954; 98: 407
        • Grant R.P.
        Architectonics of the Heart.
        Am. Heart J. 1953; 46: 405
        • Shaw M.M.
        • Adams W.E.
        • Rasmussen R.A.
        • Hrdina L.S.
        • Aronson H.G.
        Experimental Production of Insufficiency and Stenosis of the Heart Valves of Dogs.
        J. Thoracic Surg. 1943; 12: 322
        • Sabiston Jr., D.C.
        • Williams G.R.
        The Experimental Production of Infundibular Pulmonic Stenosis.
        Ann. Surg. 1954; 139: 325
        • Wiggers C.J.
        • Feil H.
        The Cardio-dynamics of Mitral Insufficiency.
        Heart. 1922; 9: 149
        • Thomas C.G.
        • Ziffren S.E.
        Healing of Extensive Cardiac Wounds.
        J. Thoracic Surg. 1952; 24: 348
        • MacCallum W.G.
        • McClure R.D.
        On the Teaching of Pathological Physiology.
        Bull. Johns Hopkins Hosp. 1906; 17: 251
        • MacCallum W.G.
        • McClure R.D.
        On the Mechanical Effects of Experimental Mitral Stenosis and Insufficiency.
        Bull. Johns Hopkins Hosp. 1906; 17: 260
        • Bernheim B.M.
        Experimental Surgery of the Mitral Valve.
        Bull. Johns Hopkins Hosp. 1909; 20: 107
        • Cushing H.
        • Branch J.R.B.
        Experimental and Clinical Notes on Chronic Valvular Lesions in the Dog and Their Possible Relation to a Future Surgery of the Cardiac Valves.
        J. Med. Res. 1908; 17: 471
        • Scheppelman E.
        Versuche zur Herzchirurgie.
        Arch. f. klin. Chir. 1912; 97: 739
        • Wynn A.
        • Matthews M.V.
        • McMillan I.K.R.
        • Daley R.
        The Left Auricular Pressure Pulse in Normals and in Mitral Valve Disease.
        Lancet. 1952; 2: 216