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December 1963

Prognosis of Aortic Stenosis: Special Reference to Indications for Operative Treatment

Author Affiliations

West Roxbury Veterans Administration Hospital and Boston Veterans Administration Hospital.

Arch Surg. 1963;87(6):931-936. doi:10.1001/archsurg.1963.01310180047009

Introduction  The growth of heart surgery has imposed on surgeons the responsibility of defining the indications for operation in the various disease entities that are being considered for surgical relief. Since the operations for acquired heart disease are as yet seldom without risk or known to be permanently curative, indications for operation in individual cases must be set against the background of the natural history of the particular disease.

Review of the Literature  In aortic stenosis, much study has been concentrated on the clinical course of the disease under nonsurgical treatment. In reviewing articles dealing with the subject, it is important to divide the cases reported into two groups: (1) those with pure aortic stenosis in which all complicating cardiac lesions except an insignificant degree of aortic insufficiency are excluded, and (2) aortic stenosis complicated with significant degrees of aortic insufficiency or with other heart lesions.Table 1 summarizes the

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