PREVENTION OF CEREBRAL EMBOLISM DURING MITRAL COMMISSUROTOMY: RESULTS IN 433 CONSECUTIVE CASES
Authors: H E BOLTON, J E DELMONICO, C P BAILEY
Journal: Annals of Internal Medicine (1954)

Article1 August 1954PREVENTION OF CEREBRAL EMBOLISM DURING MITRAL COMMISSUROTOMY: RESULTS IN 433 CONSECUTIVE CASESHOUCK E. BOLTON, M.D., J. ERNEST DELMONICO JR., M.D., CHARLES P. BAILEY, M.D.HOUCK E. BOLTON, M.D.Search for more papers by this author, J. ERNEST DELMONICO JR., M.D.Search for more papers by this author, CHARLES P. BAILEY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-2-272 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOne of the most dreaded complications attendant upon intracardiac surgery is the occurrence of embolization to the cerebral circulation, with its associated high mortality and morbidity. We are presenting a method for reducing the incidence of such episodes which seems to offer a practical approach toward the solution of this problem.In a previous publication1we described the technic and presented a small number of cases in which it was used. The number of cases so handled is now 433, and it would seem that the figures are statistically significant. These cases are compared with 235 consecutive cases in which...Bibliography1. BaileyOlsenKeownNicholsJamison CPAKKKHTWL: Commissurotomy for mitral stenosis. Technique for prevention of cerebral complications, J. A. M. A. 149: 1085, 1952. CrossrefMedlineGoogle Scholar2. BoltonManigliaMassey HERFC: Calcific emboli complicating mitral valve commissurotomy, J. Thoracic Surg. 24: 502, 1952. CrossrefGoogle Scholar3. HarkenEllisDexterFarrandDickson DELBLREJF: The responsibility of the physician in the selection of patients with mitral stenosis for surgical treatment, Circulation 3: 349, 1952. CrossrefGoogle Scholar4. 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Chalier A: Quelques donnees sur les phlebites et embolies postoperatories et sur leur prophylaxis (Some practical facts concerning postoperative phlebitis and embolisms and their production), Lyon chir. 47: 857, 1952. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication March 3, 1954.From the Dept. of Thoracic Surgery of the Hahnemann Medical College and Hospital, the Doctors Hospital, and the Bailey Thoracic Clinic, Philadelphia, with the support of the Mary Bailey Foundation for Heart and Great Vessel Research, Philadelphia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byClinical Results with Percutaneous Left Atrial Appendage OcclusionIndications for open operations for mitral stenosis∗�berblick �ber 1000 operierte MitralstenosenMAXIMAL RECONSTITUTION OF THE STENOTIC MITRAL VALVE BY NEOSTROPHINGIC MOBILIZATION (REHINGING OF THE SEPTAL LEAFLET)Cardiac Surgery for Acquired Valvular Disease: Modifications Experienced with 2,000 CasesThe Treatment of Cerebrovascular Accident 1 August 1954Volume 41, Issue 2Page: 272-281KeywordsHospitalsMorbidityMortalitySurgeryThoracic surgery ePublished: 1 December 2008 Issue Published: 1 August 1954 PDF downloadLoading ...