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History of Heart Valve Repair

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Heart Valves

Abstract

Rheumatic heart disease was dreadfully prevalent at the turn of the twentieth century. As a result, surgeons such as Henry Souttar, Elliot Cutler, and Theodore Tuffier had the unusual chance to operate on the cardiac valves. However, of the eleven operations performed on stenotic valves from 1912 to 1929, only two patients survived. World War II brought confidence in manipulating the heart, and finally, in 1948, a new generation of surgeons filled the operating theater led by Harken, Bailey, and Brock. Their skills enabled the creation of the first reliable closed techniques for the treatment of stenotic valves. Further progress occurred following the advent of techniques to support open-heart surgery by Lewis, Gibbon, Kirklin, and Lillehei in the early 1950s. Open-heart surgery made valve replacement and repair of insufficient valves feasible and repair of stenosis far more accurate. Replacements were the preferred procedure for years, until lasting improvements with valvular correction were made by Carpentier with the introduction of the annuloplasty ring in 1968 and advanced repairs for insufficiency in 1983. A move towards minimally invasive and robotic techniques occurred soon thereafter, along with the first percutaneous balloon valvuloplasty performed successfully in humans by Inoue and Kan in1982. The first purely robotic valve surgery was performed by Carpentier in 1998.

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Abbreviations

AESOP:

Automated endoscopic system for optimal positioning

ASD:

Atrial septal defect

ePTFE:

Expanded polytetrafluoroethylene

LVOTO:

Left ventricular outflow tract obstruction

NYHAC:

New York Heart Association Classification

SAM:

Systolic anterior motion

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Correspondence to Luis H. Toledo-Pereyra MD, PhD .

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Kwasny, L.B., Bianco, R.W., Toledo-Pereyra, L.H. (2013). History of Heart Valve Repair. In: Iaizzo, P., Bianco, R., Hill, A., St. Louis, J. (eds) Heart Valves. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-6144-9_5

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