| The evolution of the management of penetrating wounds of the heart. | |
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MedLine Citation:
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PMID: 3901944 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In contrast to neurological surgery, which has its origins in the treppaned skulls of Neolithic man, the realization of cardiac surgery awaited the successful suture of a wound of the heart, an accomplishment of the nineteenth century. While the problem of pneumothorax has been cited as contributing to the delay in the development of surgery of the chest, exposure of the heart can be accomplished extrapleurally: hence, the late development of cardiac suture can be traced more to the ancient premise of the inviolability of the heart, a view which persisted up to the time of the first cardiorrhaphy. The successful demonstration of the heart suture in man quickly led to its widespread adoption. Subsequently, two schools of thought regarding the initial management of penetrating cardiac wounds developed, one advocating conservative treatment with pericardiocentesis, the other prompt cardiorrhaphy. The increasing safety of thoracotomy, along with an appreciation of the unpredictable and frequently catastrophic course following an initial favorable response to pericardiocentesis resulted in the gradual emergence of cardiorrhaphy as the procedure of choice, relegating pericardiocentesis to a diagnostic or temporizing measure. |
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Authors:
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J W Blatchford; R W Anderson |
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Publication Detail:
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Type: Historical Article; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Annals of surgery Volume: 202 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1985 Nov |
Date Detail:
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Created Date: 1985-11-21 Completed Date: 1985-11-21 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 615-23 Citation Subset: AIM; IM; Q |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Surgical Procedures
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history Heart Injuries / history*, surgery History, 16th Century History, 17th Century History, 19th Century History, 20th Century History, Ancient Humans Wounds, Penetrating / history, surgery |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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