RESUMO
On October 25, 1957, the first open heart surgery in hypothermia was performed in Zagreb, at the Department of Surgery, Dr. Ozren Novosel University Hospital (now Merkur University Hospital), in a female patient with pulmonary valve stenosis under the control of the eye and with interruption of venous circulation. It was the first such operation performed in hypothermia not only in Croatia, but probably in the territory of former Yugoslavia.
Assuntos
Procedimentos Cirúrgicos Cardíacos/história , Hipotermia Induzida/história , Estenose da Valva Pulmonar/história , Croácia , Feminino , História do Século XX , Hospitais Universitários , Humanos , Hipotermia Induzida/métodos , Estenose da Valva Pulmonar/cirurgiaRESUMO
In Zagreb, at the Surgical Department of University Hospital "Dr Ozren Novosel", today "Merkur" the first operation in hypothermia was performed on October 25th, 1957, on the patient with pulmonary valve stenosis. It allowed total circulatory interruption to do the operation in the open heart successfully, and this was the first such operation not only in Croatia but in the broader context of former Yugoslavia.
Assuntos
Procedimentos Cirúrgicos Cardíacos/história , Hipotermia Induzida/história , Estenose da Valva Pulmonar/história , Croácia , História do Século XX , Humanos , Estenose da Valva Pulmonar/cirurgiaAssuntos
Procedimentos Cirúrgicos Cardíacos/história , Tetralogia de Fallot/história , Anastomose Cirúrgica , Procedimentos Cirúrgicos Cardíacos/métodos , Cianose/etiologia , Cianose/história , Feminino , História do Século XX , Humanos , Masculino , Artéria Pulmonar/cirurgia , Estenose da Valva Pulmonar/história , Estenose da Valva Pulmonar/cirurgia , Tetralogia de Fallot/cirurgiaRESUMO
Balloon valvuloplasty (BV) is currently the treatment of choice for pulmonic stenosis in humans and dogs. Before permission was obtained to attempt the 1st BV in a child in 1982, the safety and efficacy of the procedure were tested in 1980 in an English Bulldog with spontaneous pulmonic stenosis. A fatal outcome would have caused indefinite postponement of BV in human patients, a procedure that currently benefits over 25,000 patients a year worldwide. This article describes the initial test procedure and its fortunate outcome in spite of unrecognized coronary anomalies in the bulldog. A small balloon was used in the test procedure, and fatal disruption of the anomalous left coronary artery (CA) did not occur as it has in several bulldogs since that time.
Assuntos
Cateterismo/história , Cirurgia Veterinária/história , Animais , Cateterismo/veterinária , Modelos Animais de Doenças , Doenças do Cão/história , Doenças do Cão/cirurgia , Cães , História do Século XX , Estenose da Valva Pulmonar/história , Estenose da Valva Pulmonar/terapia , Estenose da Valva Pulmonar/veterinária , Estados UnidosRESUMO
The contributions of Sir Russell Brock to the early development of cardiac surgery are multiple. However, one of the most telling was his description of 3 cases of pulmonary stenosis in 1948 treated by direct transventricular valvulotomy. His subsequent treatise, The Anatomy of Congenital Pulmonary Stenosis, published in 1957, outlined this direct approach to cardiac lesions, a philosophy commonly adopted in modern care of cardiac lesions and a major contribution to cardiac surgical thinking.
