Thorac Cardiovasc Surg 2014; 62(08): 645-650
DOI: 10.1055/s-0034-1384802
Special Report
Georg Thieme Verlag KG Stuttgart · New York

Milestones in Surgery: 60 Years of Open Heart Surgery

Hans Meisner
1   German Heart Center Munich, Munich, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

28. März 2014

23. Mai 2014

Publikationsdatum:
01. August 2014 (online)

Abstract

Long periods of experimental research signify the struggle for the goal to substitute the functions of heart and lungs by a machine. In 1931, John Heysham Gibbon, a young surgeon in Boston began animal experiments concentrating on this task. After almost 20 years he succeeded, in May 1953, he performed the first successful open heart operation using a heart–lung machine in the world in Philadelphia. Almost simultaneously, a team of surgeons around Clarence Walton Lillehei in Minneapolis had the same intentions, yet using a different approach. They applied the method of cross-circulation where a parent of the sick child served as “temporary placenta” like a biological oxygenator. Their first successful operation occurred in March 1954. All over the world, many scientists worked intensely on that subject, but did not succeed. However, these two great personalities, persistent and ingenious, reached the same scientific target with very different methods. Thus, both created the foundation for modern cardiac surgery, which is now performed daily all over the world.

 
  • References

  • 1 Jeger E. Die Chirurgie der Blutgefässe und des Herzens. Berlin: August Hirschwald; 1913
  • 2 Rodewald G, History of extracorporeal circulation. In: Hagl S, Klövekorn WP, Mayr N, Sebening F. , eds. Proceedings of the Symposium Thirty Years of Extracorporeal Circulation; April 5–7; 1984: 25-43 ; Munich, Germany: Dtsch Herzzentrum München
  • 3 Gibbon Jr JH. The gestation and birth of an idea. Phila Med 1963; 59: 913
  • 4 Shumacker Jr HB. John Heysham Gibbon Jr September 29, 1903–February 5, 1973. Biographical Memoirs. Vol 53. Washington DC: National Academy Press; 1982: 213-247
  • 5 Hill JD, Gibbon John Jr H. Part I. The development of the first successful heart-lung machine. Ann Thorac Surg 1982; 34 (3) 337-341
  • 6 Dobell ARC, Gibbon John Jr H. Part II. Personal reminiscences. Ann Thorac Surg 1982; 34 (3) 342-344
  • 7 Gibbon Jr JH. Artificial maintenance of circulation during experimental occlusion of pulmonary artery. Arch Surg 1937; 34: 1105-1131
  • 8 Shumacker Jr HB, A Dream of the Heart. The life of John H. Gibbon Jr. , Father of the Heart-Lung Machine. Santa Barbara: Fithian Press; 1999
  • 9 Zenker R. Zur Geschichte und Entwicklung der Herzchirurgie. , in: Herz und herznahe Gefäße. Berlin, Heidelberg, New York: Springer-Verlag; 1978. : S. 1-14
  • 10 Miller GW. King of Hearts: The True Story of the Maverick Who pioneered Open Heart Surgery. New York: Crown Publishers; 2000
  • 11 Gibbon Jr JH. Application of a mechanical heart and lung apparatus to cardiac surgery. Minn Med 1954; 37 (3) 171-185 , passim
  • 12 Lillehei CW. A personalized history of extracorporeal circulation. Trans Am Soc Artif Intern Organs 1982; 28: 5-16
  • 13 Lillehei CW, Cohen M, Warden HE, Ziegler NR, Varco RL. The results of direct vision closure of ventricular septal defects in eight patients by means of controlled cross circulation. Surg Gynecol Obstet 1955; 101 (4) 446-466
  • 14 Lillehei CW, Cohen M, Warden HE, Varco RL. The direct-vision intracardiac correction of congenital anomalies by controlled cross circulation; results in thirty-two patients with ventricular septal defects, tetralogy of Fallot, and atrioventricularis communis defects. Surgery 1955; 38 (1) 11-29
  • 15 Lillehei CW, Cohen M, Warden HE , et al. Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects; report of first ten cases. Ann Surg 1955; 142 (3) 418-442
  • 16 Gott VL, Shumway NE. Cross-circulation: a milestone in cardiac surgery. J Thorac Cardiovasc Surg 2004; 127 (3) 617-618
  • 17 Moller JH, Shumway SJ, Gott VL. The first open-heart repairs using extracorporeal circulation by cross-circulation: a 53-year follow-up. Ann Thorac Surg 2009; 88 (3) 1044-1046
  • 18 Gott VL. Lillehei, Lewis, and Wangensteen: the right mix for giant achievements in cardiac surgery. Ann Thorac Surg 2005; 79 (6) S2210-S2213