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.""
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
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 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 As the instrument is withdrawn, the cutting surfaces are opened and allowed to impinge on the anterior margin of the stenotic valve.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.""
WARNING: Contains graphic footage of surgery. 9:52 minutes. The video is a demonstration of the instrument designed by Dr. Smithy, the valvulotome, and the technique for its use to repair damage to the aorta caused by rheumatic fever.
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 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.