Aortic Regurgitation

  • C. P. Bailey
  • J. Zimmerman

Abstract

Aortic insufficiency is a clinical entity produced by diverse pathological lesions which interfere with the normal coaptation of the aortic valve cusps during cardiac diastole. This, usually, is the result either of true dearth of valve tissue due to destruction or contraction of the cusps or to circumferential dilation of the aortic root causing a relative dearth of tissue at the level of valve closure. In certain instances, while sufficient valve tissue may be present, malcoaptation may occur as is found in cases in which a cusp prolapses into or toward the left ventricle during diastole.

Keywords

Vortex Catheter Rubber Heparin Sponge 

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Bibliography

  1. Bailey, C. P.: Surgery of the Heart, 1st ed., p. 918. Philadelphia, Pa.: Lea & Febiger 1955.Google Scholar
  2. Bailey, C. P. G. D. Geckeler, W. Likoff, L. L. Lane, F. Massey and H. Goldberg: Attempts at the Surgical Correction of Rheumatic Aortic Regurgitation. Presented at Annual Meeting of Amer. Heart Assoc, Cleveland, O., April 18, 1952.Google Scholar
  3. Bailey, C. P. R. P. Glover, J. T. E. O’Neill and H. Redondo-Ramirez: Experiences with Experimental Surgical Relief of Aortic Stenosis. J. thorac. Surg. 20, 517 (19Google Scholar
  4. Bailey, C. P., and T. Hirose: Maximal Reconstitution of the Stenotic Mitral Valve by Neostrophingic Mobilization (Rehinging of the Septal Leaflet). J. thorac. Surg. 35, 5 (1958).Google Scholar
  5. Bailey, C. P., and T. Hirose and D. P. Morse: Mitral Stenosis: New Concept of Correction by Rehinging of the Septal Leaflet (Neostrophingic Mobilization). Amer. J. Cardiol. 1, 81 (1958).PubMedCrossRefGoogle Scholar
  6. Bailey, C. P., and J. E. Imbriglia: Surgery of the Heart, Chapt. XVII of Gould’s “Pathology of the Heart„, 2nd ed. (to be published).Google Scholar
  7. Bailey, C. P., and W. Likoff: The Surgical Correction of Aortic Insufficiency. Ann. Intern. Med. 42, 388 (1955).Google Scholar
  8. Bailey, C. P., and D. P. Morse: Recurrent Mitral Stenosis: An Increasingly Common Occurrence due to Inadequate Mobilization of the Valve, Presented at the Meeting of Int. Coll. of Surg., Los Angeles, March 11, 1958.Google Scholar
  9. Blanco, G., A. Adam and A. Fernandez: A Direct Experimental Approach to the Aortic Valve: Acute Retroperfusion of the Coronary Sinus. J. thorac. Surg. 32, 171 (1956).PubMedGoogle Scholar
  10. Blanco, G. C. Oca, S. Laguna, L. E. Nunez, J. J. Schaefer and C. P. Bailey: The Use of Autogenous Lung with an Extracorporeal Pump System in Clinical Cardiac Bypass (accepted for publication in late 1958 by the Amer. J. Cardiol.).Google Scholar
  11. Campbell, J.M.: An Artificial Aortic Valve, Preliminary Report. J. thorac. Surg. 19, 312 (1950).PubMedGoogle Scholar
  12. Cooley, D.: Reported at Congress of Amer. Coll. of Surg., Sept., 1957. Atlantic City, New Jersey.Google Scholar
  13. Creech, jr., O.: Treatment of Aortic Insufficiency. Bull. Tulane Univ. med. Fac. 17, 2 (1958).Google Scholar
  14. Effler, D. D., L. K. Groves, F. M. Jones jr. and W. J. Kolff: Elective Cardiac Arrest in Open Heart Surgery. Cleveland Clin. Quart. 23, 106 (1956).Google Scholar
  15. Fitch, E. A.: Personal Communication.Google Scholar
  16. Garamella, J. J., J. G. Anderson, R. Oropeza, N. K. Jensen, L. J. Hay and R. Naidu: A New Concept in the Surgical Treatment of Aortic Stenosis. Presented at the meeting of the Minn. Surgical Soc. Nov. 1, 1957, Minneapolis, Minn, (to be published in Surg. Gynec. Obstet.).Google Scholar
  17. Holman, E., and F. Willett: The Surgical Correction of Constrictive Pericarditis. Surg. Gynec. Obstet. 89, 129 (1949).PubMedGoogle Scholar
  18. Hufnagel, C. A.: Aortic Plastic Valvular Prosthesis., Bull. Georgetown Univ. Med. Cent. 4, 128 (1951).Google Scholar
  19. Hufnagel, C. A. Discussion of “Experimental Results with a Prosthetic Aortic Valve” by B. B. ROE et al. Presented at 38th Annual Meeting of the Amer. Assoc, for Thoracic Surgery, Boston, Mass., May 17, 1958.Google Scholar
  20. Hufnagel, C. A., and W. P. Harvey: The Surgical Correction of Aortic Regurgitation. Bull. Georgetown Univ. med. Cent. 6, 60 (1953).PubMedGoogle Scholar
  21. Lam, C. R., H. H. Aram and E. R. Munnell: An Experimental Study of Aortic Valve Homografts. Surg. Gynec. Obstet. 94, 129 (1952).PubMedGoogle Scholar
  22. Lillehei, C. W., V. L. Gott, R. A. DE Wall and R. L. Varco: The Surgical Treatment of Stenotic or Regurgitant Lesions of the Mitral and Aortic Valves by Direct Vision Utilizing a Pump-Oxygenator. J. Thorac. Surg. 35, 154 (1958).PubMedGoogle Scholar
  23. Melrose, D..G, B. Dreyer, H. H. Bertell and J. B. E. Bohen: Elective Cardiac Arrest. Lancet 269, 21 (1955).PubMedCrossRefGoogle Scholar
  24. Taylor, W. J., W. B. Thrower, H. Black and D. E. Harken: The Surgical Correction of Aortic Insufficiency by Circumclusion. J. Thorac. Surg. 35, 2 (1958).Google Scholar
  25. Weiss, W. A., J. S. Gilman, A. J. Catenacci and A. E. Osterberg: Heparin Neutralization with Polybrene Administered Intravenously. J. Amer. med. Ass. 166, 603 (1958).CrossRefGoogle Scholar

Copyright information

© Springer-Verlag OHG. Berlin·Göttingen·Heidelberg 1959

Authors and Affiliations

  • C. P. Bailey
  • J. Zimmerman

There are no affiliations available

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