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Subject
Valvulotomy (13)
Smithy jr, Horace Gil... (12)
Cardiovascular Surgica... (12)
Surgery -- Instrumenta... (1)
Rheumatic Fever (1)
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Date
no Date (10)
1946 (1)
1947 (1)
Circa 1946-47 (1)

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The Horace Gilbert Smithy, Jr., M.D. Papers

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1.
Picture of Valvulotome
Picture of Valvulotome 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.""
2.
Picture of Valvulotome Being Directed Toward Mitral Orifice
Picture of Valvulotome Being Directed Toward Mitral Orifice 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
3.
Picture of Valvulotome 2
Picture of Valvulotome 2 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
4.
After Withdrawal of Valvulotome
After Withdrawal of Valvulotome 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.
5.
Step Two Valvulotome Advance to Mitral Valve
Step Two Valvulotome Advance to Mitral Valve For paper delivered by Manly Stallworth for Smithy, ""Figure 4 - Showing the valvulotome being advanced toward the mitral valve. The serrated cutting surfaces of instrument are held closed.""
6.
Valvulotome in Mitral Valve
Valvulotome in Mitral Valve 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 As the instrument is withdrawn, the cutting surfaces are opened and allowed to impinge on the anterior margin of the stenotic valve.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.""
7.
Valvulotome During Surgical Procedure
Valvulotome During Surgical Procedure 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.""
8.
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Experimental Aortic Valvulotomy
Experimental Aortic Valvulotomy 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.
9.
Valvulotome Illustration
Valvulotome Illustration 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""
10.
Picture of Surgical Instrument 4
Picture of Surgical Instrument 4 Photo of surgical instrument, back of photo, ""Fig 6 - Smithy and Parker"", front, ""Figure 6 - The valvulotome completely assembled.""
11.
Pericardium Divided Anteriorly
Pericardium Divided Anteriorly 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.
12.
For a Smithy Article
For a Smithy Article Photo of a sketch, identified parts, ""aortic retraction suture, stay sutures in perioaortic fat, valvulotome, stay sutures"", bottom right corner ""Knute Berger '46""
13.
After Withdrawal of Valvulotome
After Withdrawal of Valvulotome Photo of a sketch with paper labels identifying items in sketch, items labeled ""cecum, mesmtery, ileum, appendix, persistent omphalomesenteric artery, superior ileocecal fold, mesoappendix""