This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

C. ROLLINS HANLON, MD; V. L. WILLMAN, MD; J. GERARD MUDD, MD; PANAGIOTIS SYMBAS, MD; THEODORE COOPER, MD

AMA Arch Surg. 1963;86(6):887-890.

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

Direct vision methods for surgical relief of pulmonary valvar stenosis with intact ventricular septum are now widely advocated^{5,7,9-11,16-18} as the preferred, if not the only acceptable, form of treatment for most patients with this abnormality. In our hands, however, experience with the closed, transventricular approach has been satisfactory enough to warrant its continued trial. Using this method in cases diagnosed as valvar pulmonary stenosis with intact ventricular septum, we have found that mortality and morbidity are low, valvar stenosis can be relieved completely, and any associated infundibular stenosis will regress if the valvotomy is adequate.

Many surgeons have abandoned closed valvotomy because results by the initial technique of Sellors¹⁵ and Brock³ were unsatisfactory over a prolonged period of observation. This led to a variety of open techniques beginning with Varco's transarterial approach at normal body temperature with temporary inflow occlusion.¹⁹ Because of fatal cerebral insult in . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

From the Departments of Surgery and Medicine and the Center for Cardiovascular Research, St. Louis University.

Footnotes
Presented at the 70th Annual Session of the Western Surgical Association, St. Louis, Nov 29-Dec 1, 1962.

Aided by USPHS grants HTS-5299 (C4) and H-6312.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?