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July 1957

Aortic Commissurotomy for Calcific Aortic Stenosis Under Direct Vision Using Hypothermia

Author Affiliations

Los Angeles

AMA Arch Surg. 1957;75(1):69-76. doi:10.1001/archsurg.1957.01280130073013

The surgery for aortic stenosis has been unsatisfactory. With the development of open heart techniques, it is now possible to attack aortic stenosis directly with reasonable hope for a satisfactory outcome. It is too early to know which method of open heart surgery will eventually emerge as the method of choice. In the following case, using hypothermia, operation was sucessfully performed under direct vision for rheumatic calcific aortic stenosis.

Report of a Case  A white man, age 38, stated he had had measles and mumps in childhood and a tonsillectomy at the age of 7; he denied having had rheumatic fever, joint pains, or chorea. He served as a flier in the Marine Corps from 1942 to 1946, without any disability. On his discharge from the Corps, the examining physician "thought" that he heard a murmur, but none was recorded on the records. This was the first time that anyone

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