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(Circulation. 1952;5:349.)
© 1952 American Heart Association, Inc.

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The Responsibility of the Physician in the Selection of Patients with Mitral Stenosis for Surgical Treatment

DWIGHT E. HARKEN M.D.¹; LAURENCE B. ELLIS M.D.¹; LEWIS DEXTER M.D.¹; ROBERT E. FARRAND M.D.¹; JAMES F. DICKSON III M.D.¹

¹ From the Department of Medicine and Surgery, Harvard Medical School. the Medical and Surgical Services of the Peter Pent Brigham Hospital, the Thorndike Memorial Laboratory, the Second and fourth Medical Services and the Thoracic Surgical Service, and the Surgical Research Laboratories of the Boston City Hospital.

The anatomy of the mitral leaflets, a classification of the variations in pathologic morphology of rheumatic stenosis, and the evolution of a practical technic for relief of that stenosis while restoring valve action are considered. The life cycle of patients suffering from mitral stenosis is reviewed and a clinical classification of these patients is presented. Some indications and contraindications for surgery are discussed in the light of strength and weakness of present surgical methods. Results of surgical treatment are reviewed.

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