For paper delivered by Manly Stallworth for Smithy, ""figure 5 - Showing the valvulotome within the mitral valve. As the instrument is withdrawn, the cutting surfaces are opened and allowed to impinge on the anterior margin of the stenotic valve. Closure of the cutting surfaces causes excision of a portion of the valve which is held within the telescoping mechanism of the instrument.""
For paper delivered by Manly Stallworth for Smithy, ""This illustration appeared in S. G. O. 84; 625, April 15, 1947 - It is sharper than fig. 1 - A and is enclosed as possible alternate for latter if thought desirable. H. G. Smithy""
For paper delivered by Manly Stallworth for Smithy, ""Figure 2 - This figure and the next four figures show the steps of partial mitral Valvulotomy through a transventricular approach. The insert above shows the skin incision. The pleural cavity is entered through the fourth or fifth rib bed depending on the size of the heart. A segment of the costal cartilage above and below the resected rib is removed.""
Ruff diagram could be showing surgical concept, ""Heart Surgery, Bul. N. E. Med. Center 6:49, April '44, Intracardiac Surgery, J. Thor. Surg. 12:566, Aug. '43, Ibid, J. Thor. Surg. II:656, Aug. '42, Heart Surgery, Prec Interst. Post grad. M. A. , North Amer. (1941) pp. 350+ '42
Photo of sketch of valvulotome during surgery, identifications on sketch, ""picture of Valvulotome being directed toward mitral orifice"", ""Scarred anterior and posterior mitral leaflets resulting in small orifice"", ""Stenotic mitral orifice viewed from above"", signed by Schlossberg
Picture of valvulotome and heart showing where to make the incision, items identified, ""l. auricular appendage, L. coronary vessel, L. Phrenic n., V. ventricle, Pericardium, Totaling heart to fight by traction on pericardium, Pieura, incision in heart, R. vent., Valvulotome, open, closed"", drawing signed by L. Schlosoberg
Picture of valvulotome with a mm ruler showing size, ""Figure 1 - The valvulotome was used on all the cases presented. It contains two serrated cutting surfaces one of which telescopes into the other.""
X-ray showing rib cage area, stamped on back ""The Journal of Thoracic Surgery"", Fig. 6, Case II six months after operation showing reexpansion of left lung. Note the very slight fluid level in left base. H. G. Smithy""