Advertisement

Der Beginn der chirurgischen Therapie der Mitralklappenstenose

  • W. BöttcherEmail author
  • M. Hübler
HISTORISCHER ÜBERBLICK

Zusammenfassung

Nach der Idee von Samways 1898 und dem ersten Plan eines chirurgischen Eingriffes von Brunton 1902 begann die Geschichte der Chirurgie der Mitralklappenstenose. Zunächst beschäftigten sich Forscher wie Cushing, Haecker, Bernheim, Jeger, Carrel und Schepelmann mit Tierexperimenten. 1923 versuchte erstmals Cutler eine Mitralstenose mit einem Valvulotom bei einem Mädchen operativ zu beseitigen. Zwei Jahre später ertastete Souttar erstmals direkt eine Mitralklappe mit seinem Finger, um eine Mitralklappenstenose zu beheben. In den nächsten Jahren versuchten auch Allen, Pribram, und Murray Patienten mit einer Mitralstenose durch eine Operation zu helfen. Smithy gelang es 1948 mehrfach eine Mitralstenose durch eine partielle Valvulektomie in eine angenommen benignere Klappeninsuffizienz umzuwandeln. Im gleichen Jahr konnten kurz nacheinander Bailey und Harken von ihrer jeweils ersten erfolgreichen Kommissurotomie oder Valvuloplastie berichten.

Schlüsselwörter

Mitralklappenstenose Geschichte Kommissurotomie Valvuloplastie 

The early history of surgery for mitral valve stenosis

Summary

The history of surgery for mitral stenosis began with an idea put forward by Samways in 1898 followed by a plan conceived by Brunton in 1902. In the first period, animal experiments were performed by famous investigators including Cushing, Haecker, Bernheim, Jeger, Carrel and Schepelmann. In 1923, Cutler tried for the first time to resolve a mitral stenosis by means of an operation with a valvulotome in a girl. Two years later Souttar was the first to palpate a mitral valve with his own finger, to enlarge a stenosis. In the following years Allen, Pribram and Murray also aimed to help patients with mitral stenosis with a surgical procedure. Smithy succeeded in 1948 more than once in converting a mitral stenosis into less serious valve incompetence by partial valvulectomy. In the same year both Bailey and Harken reported their first successful commissurotomy or valvuloplasty.

Key words

Mitral valve stenosis history commissurotomy valvuloplasty 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Allen DS (1922) Intracardiac Surgery—a new method. Journal of the American Medical Association 79:1028–1030Google Scholar
  2. 2.
    Allen DS, Graham EA (1922) Intracardiac surgery—A new method. Journal of the American Medical Association 79:1028–1030Google Scholar
  3. 3.
    Allen DS (1925) Le traitement chirurgical de la stenose mitrale. Archives franco-belges de chirurgie 28:394–431Google Scholar
  4. 4.
    Bailey CP (1949) The surgical treatment of mitral stenosis (mitral commissurotomy). Diseases of the Chest 15:377–397PubMedGoogle Scholar
  5. 5.
    Bailey CP, Glover RP, O’Neill TJ (1950) The surgery of mitral stenosis. J Thorac Surg 19:16–49PubMedGoogle Scholar
  6. 6.
    Baker C, Brock RC, Campbell M (1950) Valvulotomy for mitral stenosis; report of six successful cases. Br Med J 4665:1283–1293Google Scholar
  7. 7.
    Bernheim BM (1909) Experimental surgery of the mitral valve. Johns Hopkins Hospital Bulletin 20:107–110Google Scholar
  8. 8.
    Björk VO (1994) Fifty years of cardiac and pulmonary surgery 1942–1993. The beginning of open heart surgery of postoperative intensive care. The first complete left heart catheterization. Mechanical heart valves. Scand J Thorac Cardiovasc Surg Suppl 42:1–96PubMedGoogle Scholar
  9. 9.
    Brock RC (1977) Early days of cardiac surgery. In: Davila JC (ed) Second Henry Ford Hospital International Symposium on Cardiac Surgery. Apleton-Century-Crofts, new York, pp 31–37Google Scholar
  10. 10.
    Brunton L (1902) Preliminary note on the possibility of treating mitral stenosis by surgical methods. Lancet 1:352 (Diskussionen dazu: I:461–462, I:547–548)CrossRefGoogle Scholar
  11. 11.
    Brunton TL (1867) On the use of nitrite of amyl in angina pectoris. Lancet 2:97–98Google Scholar
  12. 12.
    Carrel A (1910) On the experimental surgery of the thoracic aorta and the heart. Annals of Surgery 52:83–95PubMedCrossRefGoogle Scholar
  13. 13.
    Carrel A (1914) Experimental operations on the orifices of the heart. Annals of Surgery 60:1–6CrossRefPubMedGoogle Scholar
  14. 14.
    Cohn LH (1993) The first successful surgical treatment of mitral stenosis: the 70th anniversary of Elliot Cutler’s mitral commissurotomy. Ann Thorac Surg 56:1187–1190PubMedCrossRefGoogle Scholar
  15. 15.
    Cohn LH, Soltesz EG (2003) The evolution of mitral valve surgery: 1902–2002. Am Heart Hosp J 1:40–46PubMedGoogle Scholar
  16. 16.
    Crawford FA Jr (1996) The origins of successful closed valvular surgery. Ann Thorac Surg 62:628–629PubMedGoogle Scholar
  17. 17.
    Cushing H, Branch JRB (1908) Experimental and clinical notes on chronic valvular lesions in the dog and their possible relation to the future surgery on the heart. Journal of Medical Research 17:471–486PubMedGoogle Scholar
  18. 18.
    Cutler EC, Levine SA (1923) Cardiotomy and valvulotomy for mitral stenosis: Experimental observations and clinical notes concerning an operated case with recovery. The Boston Medical and Surgical Journal 188:1023–1027Google Scholar
  19. 19.
    Cutler EC, Beck CS (1929) The present status of surgical procedures in chronic vascular diseases of the heart. Final report on all operated cases. Archives of Surgery 18:403–416Google Scholar
  20. 20.
    Dvila JC (1998) The birth of intracardiac surgery: a semicentennial tribute (June 10, 1948–1998). Ann Thorac Surg 65:1809–1820CrossRefGoogle Scholar
  21. 21.
    Dmitrieff IP (1926) Experimentelle Beiträge zur Frage über den operativen Zugang zu den Herzklappen und der Vorhofscheidewand. Zentralblatt für Chirurgie 53:715–718Google Scholar
  22. 22.
    Doyen E (1913) Chirurgie des malformations congenitales ou acquises du coeur. Presse Médicale 21:860Google Scholar
  23. 23.
    Ellis RH (1975) The first trans-auricular mitral valvotomy. An account to mark the fiftieth anniversary of the operation. Anaesthesia 30:374–390PubMedGoogle Scholar
  24. 24.
    Ferrara BE (1991) Horace Smithy: pioneer heart surgeon. South Med J. 84:1487–1492PubMedGoogle Scholar
  25. 25.
    Haecker R (1907) Experimentelle Studien zur Pathologie und Chirurgie des Herzens. Langenbecks Archiv für klinische Chirurgie 84:1035–1098Google Scholar
  26. 26.
    Harken DE, Glidden EM (1943) Experiments in intracardiac surgery. II. Intracardiac visualization. Journal of Thoracic Surgery 12:566–572Google Scholar
  27. 27.
    Harken DE (1946) Foreign bodies in, and in relation to, the thoracic blood vessels and heart. I. Techniques for approaching and removing foreign bodies from the chambers of the heart. Surg Gynecol Obstet 83:117–125Google Scholar
  28. 28.
    Harken DE, Ellis LB, Ware PF, Norman LR (1948) The surgical treatment of mitral stenosis. I. Valvuloplasty. New England Journal of Medicine 239:891–909Google Scholar
  29. 29.
    Harken DE, Ellis LB, Norman LR (1950) The surgical treatment of mitral stenosis. II. Progress in developing a controlled valvuloplastic technique. J Thorac Surg 19:1–15, Disc 45–49PubMedGoogle Scholar
  30. 30.
    Harken DE (1989) The emergence of cardiac surgery. I. Personal recollections of the 1940s and 1950s. J Thorac Cardiovasc Surg 98:805–813PubMedGoogle Scholar
  31. 31.
    Jarotzky A (1926) Zur Frage der Operation im Innern des Herzens bei Stenosis mitralis. Zentralblatt für Chirurgie 53:140–142Google Scholar
  32. 32.
    Jeger E (1913) Die Chirurgie der Brustgefässe und des Herzens. August Hirschwald, BerlinGoogle Scholar
  33. 33.
    Lane WA (1902) Surgical operation for mitral stenosis. Lancet 1:547 (Letter)Google Scholar
  34. 34.
    Lutembacher R (1916) De la sténose mitrale avec communication interauriculaire. Archives des maladies du coeur et des vaisseaux 9:237–260Google Scholar
  35. 35.
    Meade RH (1961) A history of thoracic surgery. Charles C. Thomas, Springfield, IllinoisGoogle Scholar
  36. 36.
    Murray G, Wilkinson FR, MacKenzie R (1938) Reconstruction of the valves of the heart. Canadian Medical Association Journal 38:317–319PubMedGoogle Scholar
  37. 37.
    Potapov EV, Alexi-Meskhishvili V, Hetzer R (1998) N. Terebinski—Pionier der Klappenchirurgie am offenen Herzen. Zeitschrift für Herz-, Thorax- und Gefäßchirurgie 12:144–149CrossRefGoogle Scholar
  38. 38.
    Pribram BO (1926) XII. Die operative Behandlung der Mitralstenose. Archiv für klinische Chirurgie 142:458–464Google Scholar
  39. 39.
    Ravitch MM (1966) The papers of Alfred Blalock. The Johns Hopkins Press, BaltimoreGoogle Scholar
  40. 40.
    Rehn L (1897) Ueber penetrirende Herzwunden und Herznaht. Archiv für klinische Chirurgie 55:315–329Google Scholar
  41. 41.
    Samways DW (1898) Cardiac peristalsis: Its nature and effects. Lancet 1:927CrossRefGoogle Scholar
  42. 42.
    Samways DW (1902) Surgical operation for mitral stenosis. Lancet I:548 (letter)Google Scholar
  43. 43.
    Schepelmann E (1912) Versuche zur Herzchirurgie. Archiv für klinische Chirurgie 97:739–751Google Scholar
  44. 44.
    Shumacker HB Jr (1992) The evolution of cardiac surgery. Indiana University Press, Bloomington and Indianapolis, Bloomington, IndianapolisGoogle Scholar
  45. 45.
    Smithy HG, Boone JA, Stallworth JM (1950) Surgical treatment of constrictive valvular disease of the heart. Surg Gynecol Obstet 90:175–92, illustPubMedGoogle Scholar
  46. 46.
    Souttar HS (1925) The surgical treatment of mitral stenosis. British Medical Journal 2:603–606CrossRefGoogle Scholar
  47. 47.
    Sweet RH, Bland EF (1949) The surgical relief of congestion in the pulmonary circulation in cases of severe mitral stenosis. Prelininary report of 6 cases treated by means of anastomosis between pulmonary and systemic venous systems. Annals of Surgery 130:384–397CrossRefGoogle Scholar
  48. 48.
    Terebinski NN (1940) Materialien zur Erforschung der offenen Zugänge zu den Atrioventrikularklappen des Herzens. Experimentelle Arbeiten (rus). Medgiz, MoskvaGoogle Scholar
  49. 49.
    Tilney NL (1981) Cushing, Cutler and the mitral valve. Surg Gynecol Obstet 152:91–96PubMedGoogle Scholar
  50. 50.
    Tollemer L (1902) Traitement chirurgical. De rétrécissement mitral. La Presse Médicale 10:233Google Scholar
  51. 51.
    Wilson W (1930) Studies in experimental mitral obstruction in relation to the surgical treatment of mitral stenosis. British Journal of Surgery 18:259–274Google Scholar

Copyright information

© Steinkopff-Verlag 2006

Authors and Affiliations

  1. 1.Deutsches Herzzentrum Berlin, KardiotechnikBerlinGermany

Personalised recommendations