心血管外科基础.pptVIP

心血管外科基础 长海医院心胸外科 陆方林 一，历史 历 史 Dr. Daniel Hale Williams, a surgeon from Chicago who successfully operated on a patient with a wound to the chest involving the pericardium and the heart. 1893 year 历史 Dr. Ludwig Rehn, a surgeon from Frankfurt, Germany, who performed the first successful suture of a human heart wound. 1896year In 10 years,124cases reported Mortality 60% 历 史 肺动脉栓塞 Frederic Trendelenburg in 1908 Sharp was first to perform pulmonary embolectomy using cardiopulmonary bypass, in 1962 历史 心包 Weill in 1895 and Delorme in 1898 proposed excision of the thickened fibrous pericardium in constrictive pericarditis 历史 心导管 Although cardiac catheterization is not considered heart surgery, it is an invasive procedure and some catheter procedures have replaced heart operations. Warner Forssmann is credited with the first heart catheterization. He performed the procedure on himself and reported it in Kleinische Wochenschrift. In 1956, Forssmann shared the Nobel Prize in Physiology or Medicine with Andre F. Cournand and Dickenson W. Richards 历史体外循环前的瓣膜手术HEART VALVE SURGERY BEFORE THE ERA OF CARDIOPULMONARY BYPASS The first clinical attempt to open a stenotic valve was carried out by Theodore Tuffier on July 13, 1912 历史体外循环前的先心病手术CONGENITAL CARDIAC SURGERY BEFORE THE HEART-LUNG MACHINE ERA John Streider at the Massachusetts General Hospital first successfully interrupted a ductus on March 6, 1937. The patient was septic and died on the fourth postoperative day. At autopsy, vegetations filled the pulmonary artery down to the valve On August 16, 1938, Robert Gross, at Boston Childrens Hospital, operated on a 7-year-old girl with dyspnea after moderate exercise 历史体外循环前的心脏手术CONGENITAL CARDIAC SURGERY BEFORE THE HEART-LUNG MACHINE ERA Dr. Clarence Crafoord, in Stockholm, Sweden, successfully resected a coarctation of the aorta in a 12-year-old boy on October 19, 1944 体外循环的发展THE EVELOPMENT OF CARDIOPULMONARY BYPASS The development of the heart-lung machine made