Abstract
The changes and improvements in the surgical treatment of aortic valve disease in 296 patients, who were operated on between 1953 and 1965, are illustrated and discussed in general terms. Several of the early techniques, such as transventricular dilation, insertion of a homograft aortic valve in the descending thoracic aorta, fabric replacement of one cusp or the entire valve, and ice-chip arrest of the heart, are now obsolete. Total replacement with a ball-valve prosthesis or an aortic valve homograft while the coronary arteries are perfused with blood is the currently popular technique. The results of a hemodynamic follow-up study two years after surgery are also included.
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Selected References
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- BAIRD R. J., BIGELOW W. G. Surgical treatment of aortic stenosis. Can Med Assoc J. 1959 Nov 15;81:795–800. [PMC free article] [PubMed] [Google Scholar]
- BARRATT-BOYES B. G. HOMOGRAFT AORTIC VALVE REPLACEMENT IN AORTIC INCOMPETENCE AND STENOSIS. Thorax. 1964 Mar;19:131–150. doi: 10.1136/thx.19.2.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BIGELOW W. G., SAPIRSTEIN W., ALDRIDGE H. E. The surgical treatment of aortic insufficiency without grafting. J Thorac Cardiovasc Surg. 1962 Jul;44:32–39. [PubMed] [Google Scholar]
- BIGELOW W. G., YAO J. K., ALDRIDGE H. E., HEIMBECKER R. O., MURRAY G. D. CLINICAL HOMOGRAFT VALVE TRANSPLANTATION. J Thorac Cardiovasc Surg. 1964 Sep;48:333–345. [PubMed] [Google Scholar]
- GARAMELLA J. J., ANDERSEN J. G., OROPEZA R., VELOSO A., NAIDU R. The surgical treatment of aortic insufficiency by conversion of the tricuspid aortic valve to a bicuspid valve; chronic experimental studies. J Thorac Surg. 1959 Feb;37(2):177–183. [PubMed] [Google Scholar]
- HEIMBECKER R. O., LAJOS T. Z. Ice-chip cardioplegia. Arch Surg. 1962 Jan;84:130–140. doi: 10.1001/archsurg.1962.01300190134017. [DOI] [PubMed] [Google Scholar]
- KERWIN A. J., LENKEI S. C., WILSON D. R. Aortic-valve homograft in the treatment of aortic insufficiency. Report of nine cases, with one followed for six years. N Engl J Med. 1962 Apr 26;266:852–857. doi: 10.1056/NEJM196204262661702. [DOI] [PubMed] [Google Scholar]
- MURRAY G. Homologous aortic-valve-segment transplants as surgical treatment for aortic and mitral insufficiency. Angiology. 1956 Oct;7(5):466–471. doi: 10.1177/000331975600700509. [DOI] [PubMed] [Google Scholar]