For paper delivered by Manly Stallworth for Smithy, ""Figure 6 - After withdrawal of the valvulotome the purse-string suture is tied. This closure is reinforced with interrupted sutures of silk. The segment of valve removed within the instrument (see insert) is kept for pathological study.
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.""
For paper delivered by Manly Stallworth for Smithy, ""figure 3 - Showing the pericardium divided anteriorly and parallel to the phrenic nerve. Following infiltration of 1% procaine into a relatively avascular area of the left ventricular myocardium, a purse-string of 00 chromic catgut is placed, and an incision through the ventricular wall within the confines of the purse string suture is made. Hemorrhage is controlled with digital pressure until the valvulotome is inserted into the wound.