Cardiac hx
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| first intracardiac surgery | knife commissurotomy by Charles Bailey in Philadelphia in 1948 (but Soutter did finger commissurotomy in 1925)
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| "who said can't repair heart wound, when" | "Paget, 1896"
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| first repairs cardiac (extracardiac) | "Gross 1938 PDA, then coarct"
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| who developed hypothermia | Bigelow in 1945
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| name Lewis and Lillehei first contributions cardiac surgery | used hypothermia to repair ASD in 1952
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| "who first developed CPB, year" | Gibbon in 1953 in Phila
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| what was Gibbon's CPB first used for | "repair of ASD…key was use of heparin, later he declared a moratorium"
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| when and who used cross circulation | Lillehei (MN) 1954 for repair of VSD
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| James Hardy | "Miss in 1964 did a heart tx from chimp, but heart was too small and lots of controversy"
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| Kantrowitz role in cardiac tx | attempt cardiac tx w hypothermia using anencephalic baby in 1966 (after Hardy's chimp and before Barnard)
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| Kantrowitz role in VADs | "1966 put in LVAD, pt lived for days (was before de Bakey put in LVAD in April of same year)"
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| story of Barnard cardiac tx | "9/21/1967 did tx on Washansky, used KCl instead of waiting for heart to stop, lived 18d died of PNA misdx as rejxn"
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| Shumway's first transplant | "1/6/1968, lived 15d"
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| Cooley's first transplant | "5/2/1968, lived 8mo"
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| chronology of transplants | "Barnard: 9/21/1967 then 1/2/1968, then Shumway 1/6/1968, then Cooley 5/2/1968"
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| Dick Lower | "involved in cardiac tx dog expts w Shumway 1959, then 1968 accused of wrongful death and only Shumway cont'd tx in US"
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| Seldinger technique | "use of guided wires/catheters, 1953 (Moniz first did similar in 1927 and given Nobel prize)"
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| who developed anastomotic technique | "Carrel 1910, and even did an experimental CABG, won Nobel prize"
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| who first did an IMA CABG | "Goetz 1960 did IMA to RCA using circumferential ligatures ""Rosenbach ring"""
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| what did Vineberg do | LIMA into myocardium w/o anastomosis (then communications develop)
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| what did Kolesov do relative to CABG | "CABG w suture, but concluded that surgery for CAD had no future"
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| who did first SVG CABG | Sabiston in 1962
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| when and who first saved the subvalv apparatus | Lillehei in 1964…but took longer
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| order of valve development | "Starr caged in 1961 but signif thromboembol reqd high anti coag, also silastic ball replaced; 1970s Bjork Shiley w better hemo and incrsd CSA…then concave/convex but struts broke"
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| order of bioprosthet valve develop | "formalin fixed but collagen breakdown, then gluteraldehyde"
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| % structural valve dz | "in 80s 15-20% failed at 10yrs, faster in younger and not supposed to use in CRF or hyperCa"
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| DeBakey key contribution Dacron graft | patch angioplasty for endarectomy 1958
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| who/when repaired first cardiac injury | Rehn repaired stab wound RV 1896
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| who did finger commissurotomy v knife | "Soutter did finger commissurotomy in 1925, knife commissurotomy by Bailey in 1948"
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| names some UCSF faculty in Cutting Remarks | """Blazer"" Blaisdell for trauma, ""Death"" (Weisman, operated on relatives, not sure real name), Goldstone (vascular, wandering eye),pt w Zenker's diverticulum carried bottle of pickled oysters"
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Created by:
ehstephns
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