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Further Experience, with Report of Cases

MARK M. RAVITCH, M.D.; ALFRED BLALOCK, M.D.

Arch Surg. 1949;58(4):463-477.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

FIVE years ago we¹ reported our experience with the aspiration of blood from the pericardial cavity in the treatment of acute cardiac tamponade due to hemopericardium. At the time of our report, the results led us to the conclusion that aspiration of the pericardial contents is the treatment of choice for hemopericardium and that open operation should be resorted to only if bleeding continues or is resumed. Blau,² Anderson and Starbuck³ and others have reported successful results with nonoperative treatment.

Since our previous report, there has been an improvement in the mortality rate associated with the operative treatment of wounds of the heart. In 1944 Linder and Hodo⁴ reported a mortality of 43 per cent in 28 cases, a rate which is almost identical with Elkin's mortality of 42 per cent in 38 cases, reported in 1941.⁵ However, it is of interest that in the . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

From the Department of Surgery of the Johns Hopkins University and Hospital.

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