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(Circulation. 1960;21:563.)
© 1960 American Heart Association, Inc.

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Transventricular Mitral Valvotomy

FRANK GERBODE M.D.¹

¹ From the Department of Surgery, San Francisco-Stanford Hospital, San Francisco, Calif.

In a consecutive series of 200 operations for relief of mitral stenosis, transventricular valvotomy was performed whenever digital valvotomy was found to be ineffective. The operative mortality was 12.5 per cent.

In a series of 17 second operations for mitral stenosis, the transventricular method was similarly used, with 2 operative deaths. A left lateral thoracotomy was employed, with reentry through the left atrium.

The results of transventricular valvotomy were more satisfactory than when the usual commissurotomy through the left atrium was employed.