心血管外科基础资料.pptx

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 performedthe first successful suture of a human heart wound.1896yearIn 10 years,124cases reportedMortality 60% 历 史肺动脉栓塞Frederic Trendelenburg in 1908Sharp 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 andsome catheter procedures have replaced heart operations. Warner Forssmann is credited with the first heart catheterization. He performed theprocedure on himself and reported it in Kleinische Wochenschrift. In 1956, Forssmann shared the Nobel Prize in Physiology or Medicine with AndreF. 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 BYPASSThe 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 THEHEART-LUNG MACHINE ERAJohn Streider at the Massachusetts GeneralHospital 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 tothe valveOn August 16, 1938, Robert Gross, at Boston Children"s 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 THEHEART-LUNG MACHINE ERADr. Clarence Crafoord, in Stockholm, Sweden, successfully resected a coarctation of the aorta ina 12-year-old boy on October 19, 1944 体外循环的发展THE EVELOPMENT OF CARDIOPULMONARYBYPASSThe development of the heart-lung machine made repair of intracardiac lesions possible. To