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- W2066704426 abstract "Aortic valvular stenosis has been amenable to surgery since the development of instrumental commissurotomy and dilatation.1-3Despite the significant mortality of transventricular or transaortic commissurotomy, the surgical risks of these blind procedures were accepted because of the poor prognosis of patients with advanced, symptomatic aortic stenosis.4,5 With the use of cardiopulmonary bypass techniques, open-heart aortic valvuloplasty and total valve replacement have supplanted the earlier procedures.6,7The technical advantage of the direct visual approach appears to be a major contribution to the management of patients with this lesion, since the heavily calcified, immobile, rock-like valve was often refractory to instrumental dilatation. In this report the late results of transventricular aortic commissurotomy are described in terms of symptomatic improvement, postoperative survival, and hemodynamic responses. These data should be of value for comparison with late results following newer procedures. Material and Methods Thirty out of 34 patients" @default.
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- W2066704426 date "1964-05-01" @default.
- W2066704426 modified "2023-10-03" @default.
- W2066704426 title "Inexorable Aortic Stenosis" @default.
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- W2066704426 doi "https://doi.org/10.1001/archinte.1964.00280110086017" @default.
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