JOSEPH F. URICCHIO, M.D.; ROBERT LITWAK, M.D.; CLARENCE DENTON, M.D.; HARRY GOLDBERG, M.D.; WILLIAM LIKOFF, M.D., F.A.C.P.
The first surgical method to correct commissural fusion of rheumatic aortic stenosis was conceived and employed by Bailey in 1950.1 It was termed transventricular commissurotomy, because the operation required an entrance into the left ventricular cavity through its muscular wall for the passage of a dilator which engaged the valve from below and forcefully separated the leaflets.
The recent review by Likoff and associates2 of the clinical results of this technic in 79 patients, 65 of whom had aortic stenosis alone or combined with adynamic aortic regurgitation, reported an immediate operative mortality of 18% when the stenosis was not
URICCHIO JF, LITWAK R, DENTON C, GOLDBERG H, LIKOFF W. A MEDICAL APPRAISAL OF TRANSAORTIC COMMISSUROTOMY1. Ann Intern Med. ;44:844–860. doi: 10.7326/0003-4819-44-5-844
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Published: Ann Intern Med. 1956;44(5):844-860.
Cardiology, Valvular Heart Disease.
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