Cardiac surgery before cardiopulmonary bypass

Rainer, W. Gerald
May 2003
Perfusion;May2003, Vol. 18 Issue 3, p139
Academic Journal
To completely cover a topic such as this and to do justice to all of the people who were involved in the evolution of cardiac surgery is virtually impossible. Many texts and papers have been written regarding the early days of cardiac surgery and one has to draw on the information derived from various specific publications to have a grasp of the overall picture. Many important contributions were made and reported in various countries and the publications may have been in many different languages. The twentieth century was preceded by a few significant milestones, which laid the groundwork for the cautious approach to heart surgery (the first 40 years), followed by the veritable explosion of developments after which cardiac surgery would never be the same. These significant stepping stones were chosen purely arbitrarily by me because of the great impact they would have upon future developments. In the period from 1768 to 1772, William Heberden published his thoughts regarding the clinical picture of angina pectoris, which he described in such accurate detail that it remains the classic model of the manifestations of angina. In 1912, James B. Herrick published in the 'Journal of the American Medical Association' his observations of the correlation of coronary thrombosis found at autopsy in five cases to the clinical picture of angina pectoris. This was the first firm evidence that angina was caused by occlusive coronary artery disease.


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