For paper delivered by Manly Stallworth for Smithy, ""Figure 1 - Introduction of valvulotome into aorta after placing traction ligature around aorta and stay sutures in periaortic fat.""
Illustration for Article on Aortic Valvulotomy, ""Figure 2 - Trans-aortic method of Valvulotomy (A) and the various types of valvular lesions produced (A - G). Perforation (A & B) occurred in 30%of animals, laceration (C & D ) in 22%, partial avulsion (F) in 15%, and extensive division (F and G ) in 22%. "" note in corner ""Miss C fig. 1 made provof in envelope""
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 As the instrument is withdrawn, the cutting surfaces are opened and allowed to impinge on the anterior margin of the stenotic valve.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.""
Bibliography for article on Aortic Valvulotomy, Allen and Graham, J.A.M.A. 79:1028.1922, Allen and Graham, Arch. Surg. 8:317, 1924, Cutler etal., Arch. Of Surg. 9:689, 1924, Wiggers and DuBois: Prod. Of Tirup Valvular lesions, Proc. Soc. Exp. BOM. 10:87, 1913, Brunton: Lancet, 1:352, 1902
Patient notes on Roper Hospital note paper, ""Mr. Benton - Thrombophlevitis despite fem. Vein legation, relived by caudal block., Mr. Speaks - Acute thrombophlebitis after sympathectomy, Linton's editorial Phlebitis after ligation, Surgery March '46""
Photo of surgical instrument used for the Valvulotomy, on back ""Fig. 5 - Smithy and Parker, Apr. 15, P. 625, front, ""Figure 5 - Beginning introduction of blade into sheath.
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.""
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.""
