Emergency commissurotomy in intractable pulmonary edema: Report of two cases

Hans U. Wessel, James R. Webster

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Acute, intractable pulmonary edema appeared in a patient who was being prepared for mitral commissurotomy. The operation was postponed, and the patient died. There was reason to believe that immediate performance of the operation would have given the patient a chance to survive. Accordingly, in two other patients, with mitral stenosis, who developed pulmonary edema refractory to medical treatment, the operation was done at once. The improvement was immediate, and both patients survived. Since pulmonary edema may set in suddenly during diagnostic procedures or during preparations for surgery, the possible need for emergency commissurotomy must be kept in mind, but it is better to follow the patient closely and to advise surgery before intractable pulmonary edema becomes an imminent threat. Copyright, 1958, by American Medical Association

Original languageEnglish (US)
Pages (from-to)1214-1217
Number of pages4
JournalJournal of the American Medical Association
Issue number9
StatePublished - Nov 1 1958

ASJC Scopus subject areas

  • Medicine(all)


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