Abstract
From the earliest days of cardiac surgery there has been acute awareness of the possible damage that might be done to the brain. Henry Souttar was amongst the first to operate on the heart 1] in 1925. He saw the opportunity for surgical help and argued that valvular disease of the heart was “to a large extent mechanical, and as such should already be within the scope of surgery were it not for the extraordinary nature of the conditions under which the problems must be attacked.” It was thirty years before the development of the heart/lung machine so he had to operate on the heart while it was closed and beating “in view of the extreme danger to the brain from even the shortest check to its blood supply.” In a statement in that paper he showed remarkable foresight when he said: “We are, however, of the opinion that these conditions are mechanical, and that apart from them the heart is as amenable to surgical treatment as any other organ.”
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References
H. S. Souttar, The surgical treatment of mitral stenosis, British Medical Journal, October 3rd 603 (1925).
T. Åberg, G. Ronquist, H. Tyden, P. Ahlund and K. Bergstrom, Release of adenylate kinase into cerebro-spinal fluid during open heart surgery and its relation to postoperative intellectual function, Lancet, 1: 1139 (1982).
P. L. C. Smith, T. Treasure and S. P. Newman, et al, Cerebral consequences of cardiopulmonary bypass, Lancet, 1: 823 (1986).
T. S. Padayachee, S. Parson, and R. Theobold, et al, The detection of microemboli in the middle cerebral artery during cardiopulmonary bypass: A transcranial Doppler ultrasound investigation using membrane and bubble oxygenators, Ann Thorac Surg., 44: 298 (1987).
W. Pugsley, The use of Doppler ultrasound in the assessment of microemboli during cardiac surgery, Perfusion, 4: 115 (1989).
K. M. Taylor, B. J. Devlin, S. M. Mittra, J. G. Gillian, J. J. Brannan, and J. M. Mckenna, Assesment of cerebral damage during open-heart surgery: a new experimental model,Scand J. Thor Cardiovasc Surg., 14: 197 (1980).
C. Blauth, J. Arnold, E. M. Kohner, K. M. Taylor, Retinal microembolism during cardiopulmonary bypass demonstrated by fluorescein angiography, Lancet, ii: 837 (1986).
C. Blauth, J. Arnold, W. E. Schulenberg, A. McCartney, K. M. Taylor. Cerebral microembolism during cardiopulmonary bypass. Retinal microvascular studies in vivo with fluorescein angiography, J Thorac Cardiovasc Surg., 95: 668 (1988).
A. E. Willner, L. L. Caramante, J. W. Garvey, et al, The relationship between arterial filtration during open-heart surgery and mental abstraction ability, Proc Am Acad Cardiovasc Perf., 4: 56 (1983).
D. W. Miller, Jr., J. M. Binford, E. A. Hessel, Results of a survey of the professional activities of 811 cardiopulmonary perfusionists, J. Thorac Cardiovasc Surg., 83:385 (1982).
T. Treasure, Interventions to reduce cerebral injury during cardiac surgery - the effect of arterial line filtration. Perfusion, 4: 147 (1989).
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© 1990 Plenum Press, New York
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Treasure, T. et al. (1990). Arterial Line Filtration Reduces Microembolism and Significantly Improves Neuropsychological Outcome in Coronary Artery Surgery. In: Willner, A.E., Rodewald, G. (eds) Impact of Cardiac Surgery on the Quality of Life. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0647-4_40
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DOI: https://doi.org/10.1007/978-1-4613-0647-4_40
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