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Preliminary Report

PRESCOTT JORDAN, JR., M.D.; JAMES WIBLE, M.D.

AMA Arch Surg. 1955;71(3):468-474.

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

The surgical attack upon acquired heart disease has progressed at a rapid pace since the advent of mitral commissurotomy in 1949.¹ The outstanding valvular defect, which still is unsolved from a surgical standpoint, is mitral insufficiency. Bailey² found at operation that 21.7% of patients operated upon for mitral stenosis had a significant amount of mitral insufficiency. In addition, in 5.5% of these patients the insufficiency was the major lesion.

The surgical attack on this lesion has been varied. The sling procedure, which was the first clinical approach, has now been discarded.³ Prosthetic alleviation of the insufficiency by the use of a plastic baffle, as advocated by Harken,⁴ is probably the most accepted clinical method today, along with the suturing of the valve as has been advocated by Bailey and co-workers.⁵ Experimentally the mitral valve has been replaced by a polymerized methyl methacrylate (Lucite) prosthesis by . . . [Full Text PDF of this Article]

Author Affiliations
Detroit

From the Experimental Laboratories of the Department of Surgery, Wayne University College of Medicine, and the Detroit Receiving Hospital.

Footnotes
Submitted for publication April 25, 1955.

Read at the 12th Annual Meeting of the Central Surgical Association, Chicago, Feb. 18, 1955.

Aided by a grant from the Michigan Heart Fund and the Research Fund of the Veterans Administration Hospital, Dearborn, Mich.

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