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Temporary Coronary Artery Occlusion Using Left Heart Bypass
Don R. Miller, MD;
Felix Largiadèr, MD;
Elsa Pfenninger, MD;
Åke Senning, MD
AMA Arch Surg. 1967;94(4):571-584.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE HIGH mortality which has been associated with the conventional methods of treatment of acute coronary occlusion associated with shock1 has stimulated consideration of surgical treatment for the lesion. Indeed, clinical attempts to remove acute coronary artery obstruction have already been made on a few occasions2,3 but without prolonged success.
Because of the high risks attendant upon operations of this nature, coronary endarterectomy, to be considered, must be based upon accurate preoperative diagnosis with a means available to support the circulation during and following an operative procedure and with the knowledge that restoration of flow to the ischemic area can effect immediate or prolonged improvement in reversible changes which may have occurred in the myocardium subsequent to the occlusion. A closed method of left heart bypass4-8 has been described and has been clinically used to support the failing heart.
At present, there is insufficient experimental evidence to
. . . [Full Text PDF of this Article]
Author Affiliations
Kansas City, Kan; Zurich, Switzerland
From the Surgical Service A (Drs. Senning and Largiadèr) and the Department of Pathology (Dr. Pfenninger), University of Zurich, and the Department of Surgery (Dr. Miller), University of Kansas School of Medicine, Kansas City.
Footnotes
Read before the 74th Annual Session of the Western Surgical Association, Phoenix, Ariz, Nov 17-19, 1966.
Reprint requests to Department of Surgery, University of Kansas Medical Center, Rainbow Blvd at 39th St, Kansas City, Kan 66103 (Dr. Miller).
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