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Horizons

  • V. O. Björk

Abstract

Thanks to the untiring, ongoing research, there is a step-by-step, slow but steady improvement of the handling of cardiovascular diseases. The most outstanding advance has lately been in the field of intracardiac diagnosis. Forty years ago, I introduced complete left heart catheterization utilizing an 18-cm-long needle above the 9th rib, three finger breadths to the right of the median line, and, after entering the left atrium, I pushed a catheter through the needle, the left atrium, the left ventricle, and out into the aorta. On withdrawal I got all the pressures on the left side of the heart. The first open heart operation in Europe, by Crafoord in 1954, was for a left atrial myxoma, diagnosed with this method when I injected the contrast medium directly into the left atrium through the needle and clearly outlined the tumor. Today, I am impressed by the noninvasive echo-Doppler technique visualizing intracardiac shunts and valvular insufficiency and estimating the valvular gradients.

Keywords

Left Atrium Open Heart Operation Mechanical Heart Valve Diseased Mitral Valve Artificial Heart 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • V. O. Björk

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