SURGICAL TREATMENT OF TRICUSPID INSUFFICIENCY.
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Biomedical subjects
Publications and source records attributed to J H KAY.
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Thirty-four patients having among them cardiac valve deformities of five different types were operated upon with the heart opened to expose the surgical field to direct vision. Five of them died, including three of the first six. Of 29 surviving patients, 26 were greatly improved and leading a normal life. The other three were slightly to moderately improved.
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Cardiac operation with the operative field under direct vision and the patient's oxygenation maintained by a heart-lung machine affords an excellent means of treating aortic stenosis, for it allows unlimited time in which to repair aortic stenosis no matter how involved the cusps are with calcium. The valves can be sculptured and the commissures cut at their place of fusion. Concomitant aortic insufficiency can also be taken care of at the same time, as can associated mitral valve stenosis and insufficiency. This method was used in ten patients. Two died. Eight were considerably improved.
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