Fifty Years of Open Heart Surgery at the Mayo Clinic

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Presentation transcript:

Fifty Years of Open Heart Surgery at the Mayo Clinic Richard C. Daly, MD, Joseph A. Dearani, MD, Christopher G.A. McGregor, MB, FRCS, Charles J. Mullany, MB, MS, Thomas A. Orszulak, MD, Francisco J. Puga, MD, Hartzell V. Schaff, MD, Thoralf M. Sundt, MD, Kenton J. Zehr, MD Mayo Clinic Proceedings Volume 80, Issue 5, Pages 636-640 (May 2005) DOI: 10.4065/80.5.636 Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Mayo Clinic surgeon John W. Kirklin led a team that showed the clinical feasibility of the mechanical pump-oxygenator for supporting circulation. Mayo Clinic Proceedings 2005 80, 636-640DOI: (10.4065/80.5.636) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 The heart-lung machine first used at the Mayo Clinic in March 1955. The screen oxygenator is the rectangular box on the top of the machine. Mayo Clinic Proceedings 2005 80, 636-640DOI: (10.4065/80.5.636) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Schematic of heart-lung apparatus from the Proceedings of the Staff Meetings of the Mayo Clinic, May 1955.10 1 = the venous inflow line; 2 = the venous reservoir; 3 = level-sensing devices; 4 = occluder; 5 = input for the administration of blood and fluids; 6 = recirculation pump; 7 = high-pressure stops; 8 = oxygenator; 9 = location of pH electrodes; 10 = arterial pump; 11 = arterial and venous cuvette oximeter; 12 = arterial filter; 13 = arterial output to animal; 14 = coronary sinus inflow; 15 = coronary sinus pump; 16 = coronary sinus reservoir; 17 = priming reservoir. Mayo Clinic Proceedings 2005 80, 636-640DOI: (10.4065/80.5.636) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 The heart-lung machine (foreground) in the operating room at the Colonial Hospital. Mayo Clinic Proceedings 2005 80, 636-640DOI: (10.4065/80.5.636) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 5 Notebook containing calculations for setting up the heart-lung machine for the first patient to undergo a cardiac surgical procedure with use of a mechanical pump-oxygenator. The name on the front of the notebook is D. E. Donald, research assistant and perfusionist for the first patients.16 Mayo Clinic Proceedings 2005 80, 636-640DOI: (10.4065/80.5.636) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions