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GEORGE D. LE MAITRE, MD
Andover, Mass

Arch Surg. 1987;122(1):121.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—I should like to make a few comments on the article by Bandyk and colleagues¹ in the March issue of the ARCHIVES. While I have no quarrel with the elegant intraoperative studies done by Bandyk and associates, I feel that pulsed Doppler spectral analysis may not be available to the average community hospital surgeon, and I feel it is redundant if proper attention is given to the techniques of this procedure. We perform our operation with a modified Hall valvulotome and have recognized no residual or retained valves during surgery or in the early postoperative period in 61 consecutive cases. Our patients are followed up at three-month intervals, and we did recognize a hypertrophied valve causing hemodynamic disturbances at the one-year mark in one patient. Indeed, this hypertrophied valve was detected with a simple bidirectional Doppler transducer and was explored and excised, and the graft was . . . [Full Text PDF of this Article]

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