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July 1952

MITRAL STENOSIS: Physiological Studies, Diagnosis, and Treatment

Author Affiliations

From the Presbyterian Hospital and the Rush Research Laboratories.; Dr. Fell is Attending Surgeon at Presbyterian Hospital and Cook County Children's Hospital; Clinical Associate Professor of Surgery, University of Illinois College of Medicine; Consultant in Cardiovascular Surgery, Mount Sinai Hospital.; Dr. Paul is Assistant Attending Physician at Presbyterian Hospital, Central Free Dispensary; Clinical Assistant Professor of Medicine, University of Illinois College of Medicine.; Dr. Campbell is Dean of the Albany Medical School, Albany, N. Y., formerly of Presbyterian Hospital, Chicago.

AMA Arch Surg. 1952;65(1):128-138. doi:10.1001/archsurg.1952.01260020140013

SIR LAUDER Brunton1 wrote in 1902:

Mitral Stenosis is not only one of the most distressing forms of cardiac disease, but in its severe forms it resists all treatment by medicine.... The risk which an operation would entail naturally makes one shrink from it, but in some cases it might be well worthwhile for the patients to balance the risk.

The first question that arises is whether the mitral orifice should be enlarged by elongating the natural opening or whether the valves should be cut through their middle at right angles to the normal opening. I think there can be little doubt that the former would be the better plan, but the latter is the more easily performed (Fig. 1).

The good results that have been obtained by surgical treatment of wounds in the heart emboldens one to hope that before very long similar good results may be obtained