Abstract
The success and achievements in the field of cardiac surgery are attributed to the discovery of cardiopulmonary bypass techniques. The pioneering work of nineteenth century scientists, physicians, and engineers in experimental animal organ perfusion laid the foundations for artificial oxygenation techniques (film, bubble, and isolated lung) and closed circulation circuits. The first half of the twentieth century featured the work of Brukhonenko, Crafoord, Björk, Jonblogbloed, and Gibbon in refining perfusion methods in search of achieving clinical application in humans. They assembled heart–lung machines intended for use age during cardiovascular operations. The first clinical application of the heart–lung machine was recorded in 1951, heralding a new era in cardiac surgery.
But if the place of the heart could be supplied by injection—and if, for the regular continuance of this injection, there could be furnished a quantity of arterial blood, whether natural, or artificially formed, supposing such a formation possible—then life might be indefinitely maintained in any portion; and consequently, after decapitation, even in the head itself, without destroying any functions peculiar to the brain. Not only life might thus be kept up both in the head and in any other portion separated from the body of an animal, but might also be re-produced after its entire extinction. It might be restored likewise to the whole body, and thereby a complete resurrection be performed in the full extent of the word.
César Julien Jean Le Gallois
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References
Le Gallois JJC (1813) Experiments on the principle of life, and particularly on the principle of the motions of the heart, and on the seat of this principle: including the report made to the first class of the Institute, upon the experiments relative to the motions of the heart. M. Thomas, Philadelphia, pp 130–131
Brown-Séquard E (1858) Recherches expérimentales sur les propriétés physiologiques et les usages du sang rouge et du sang noir et leurs principaux éléments gazeux, l′oxygène et l′acide carbonique. J de la Physiologie De l’Homme et des Animaux 1:95–122, 353–367, 729–735
Bidder E (1862) Beiträge zur Lehre von der Function der Niere. Inaugural Dissertation Dorpat
Loebell CE (1849) De conditionibus quibus secretiones in glandulis perficiuntur. Dissertatio Inauguralis Marburg, Marburg
Schmidt A (1867) Die Athmung innerhalb des Blutes. Zweite Abhandlung—Aus dem physiologischen Institute zu Leipzig. Vorgelegt von dem wirkl. Mitgliede C. Ludwig. Berichte über die Verhandlungen der Königlich Sächsischen Gesellschaft der Wissenschaften zu Leipzig. Mathematisch–Physische Classe 19:99–130
Ludwig C, Schmidt A (1868) Das Verhalten der Gase, welche mit dem Blut durch den reizbaren Säugethiermuskel strömen. Berichte über die Verhandlungen der Königlich Sächsischen Gesellschaft der Wissenschaften zu Leipzig, mathematisch–physische Classe 20:12–72
Von Frey M, Gruber M (1885) Untersuchungen über den Stoffwechsel isolierter Organe. Ein Respirationsapparat für isolierte Organe. Archiv für Anatomie und Physiologie. (Fortsetzung des von Reil, Reil u. Autenrieth, J. F. Meckel, Joh. Müller, Reichert u. Du Bois-Reymond herausgegebenen Archives). Physiologische Abtheilung Leipzig 9:519–532
Jacobj C (1890) Apparat zur Durchblutung isolirter überlebender Organe. Archiv für experimentelle Pathologie und Pharmakologie (Naunyn/Schmiedeberg) 26:388–397
Brodie TG (1903) The perfusion of surviving organs. J Physiol 29:266–272
Embley EH, Martin CJ (1905) The action of anaesthetic quantities of chloroform upon the blood vessels of the bowel and kidney; with an account of an artificial circulation apparatus. J Physiol 32:147–158
Friedmann E (1910) Zur Technik der Durchströmung überlebender Organe. Biochemische Zeitschrift 27:87–96
Neubauer O, Groß W (1910) Zur Kenntnis des Tyrosinabbaus in der künstlich durchbluteten Leber. Hoppe-Seyler’s Zeitschrift für Physiologische Chemie 67:219–229
Hooker DR (1910) A study of the isolated kidney: the influence of pulse pressure upon renal function. Am J Physiol 27:24–45
Hamel G (1889) Die Bedeutung des Pulses für den Blutstrom. Zeitschr Biologie 25:474–495
McMaster PD, Parsons RJ (1938) The effect of the pulse on the spread of substances through tissues. J Exp Med 68:377–400
Kermack WO, Lambie CG (1925) An automatic perfusion apparatus. J Physiol 60:24–25
Bock J (1907) Ein Apparat zu Infusionsversuchen. Naunyn0Schmiedebergs Arch Exp Pathol Pharmakol 57:177–182
Fröhlich A (1913) Eine Vorrichtung für Dauerdurchströmungen von Kaltblüterorganen mit kleinen Flüssigkeitsmengen. Zentralbl Physiol 27:1011–1013
Cooley DA (1987) Development of the roller pump for use in the cardio-pulmonary bypass circuit. Texas Heart Inst J 14:113–118
von Issekutz B (1927) Beiträge zur Wirkung des Insulins. II. Mitteilung: Insulin-Adrenalin-Antagonismus. Biochem Zeitschr 183:283–297
Von Frey M (1885) Versuche über den Stoffwechsel des Muskels. Arch Physiol 9:533–562
Hooker DR (1915) The perfusion of the mammalian medulla: the effect of calcium and of potassium on the respiratory and cardiac centers. Am J Physiol 38:200–208
Bayliss LE, Fee AR, Ogden E (1928) A method of oxygenating blood. J Physiol 66:443–448
Cruickshank EWH (1934) A magnetic blood oxygenator. J Physiol 82:26–32
Evans CL, Grande FYHF (1934) Two simple heart-oxygenator circuits for blood-fed hearts. Q J Exp Physiol 24:283–287
Bornstein A (1926) Über Durchblutungsversuche an der überlebenden Hundeextremität. Naunyn-Schmiedebergs Arch Exp Pathol und Pharmakol 115:367–374
Staub H (1931) Methode zur fortlaufenden Bestimmung des Gaswechsels isoliert durchströmter Organe im geschlossenen System. I. Mitteilung: Über Leberstoffwechsel. Naunyn-Schmiedebergs Arch Exp Pathol Pharmakol 162:420–51
Gregory RA (1939) A new oxygenator for blood-perfused hearts. J Physiol 95:49P–51P
Von Schröder W (1882) Ueber die Bildungsstätte des Harnstoffs. Arch Exp Pathol Pharmakol 15:364–400
Astrup P, Severinghaus JW (1986) The history of blood gases, acids, and bases. Munksgaard, Copenhagen, pp 281–284
Brukhonenko SS (1964) Artificial circulation. Nauka, Moscow
Jacobj C (1895) Ein Beitrag zur Technik der künstlichen Durchblutung überlebender Organe. Arch Exp Pathol Pharmakol 31:330–348
Brukhonenko SS, Tchetchuline S (1929) Experiences avec la tête isolée du chien. J Physiol Pathol Gen 27:31–45
Dale HH, Schuster EHJ (1928) A double perfusion-pump. J Physiol 64:356–364
Carrel A, Lindbergh CA (1935) The culture of whole organs. Science 81:621–623
Lindbergh CA (1935) An apparatus for the culture of whole organs. J Exp Med 62:409–433
Brukhonenko S (1929) Circulation artificielle du sang dans l′organisme entier d′un chien avec coeur exclu. J Pathol Pathol Gen 27:257–272
Konstantinov IE, Alexi-Meskishvili VV, Sergei S (2000) Brukhonenko: the development of the first heart–lung machine for total body perfusion. Ann Thorac Surg 69:962–966
Brukhonenko S, Steppuhn O (1927) Experimentelles zur Anwendung von “Germanin” (Bayer 205) bei Bluttransfusionen. Munchener Med Wochenschr 74:1316–1317
Brukhonenko SS, Tchechulin SI (1928) Experiments on isolation of dog’s head. Trudi Nauchnogo Khimiko-Pharm Inst 20:7–43
Brukhonenko SS (1928) Artificial circulation of the whole body of a dog with arrested heart. Trudi Nauchnogo Khimiko-Pharm Inst 20:44–72
Probert WR, Melrose DG (1960) An early Russian heart–lung machine. Br Med J 1:1047–1048
Shaw GB (1929) Shaw will sich kopfen lassen, wenn … Berliner Tageblatt 130:1
Alexi-Meskishvili VV, Potapov EV, Beyer EA, Hetzer R (1998) Nikolai Terebinski: a pioneer of the open valve operation. Ann Thorac Surg 66:1440–1443
Terebinski N (1938) Experimental stenosis of the atrioventricular valves of the heart and their repair. Khirurgia 12:36–43
Richardson RG (1979) Scalpel and heart. Scribner, New York, p 223
Gibbon JH (1937) Artificial maintenance of circulation during experimental occlusion of pulmonary artery. Arch Surg 34:1105–1131
Gibbon JH (1939) An oxygenator with a large surface-volume ratio. J Lab Clin Med 24:1192–1198
Gibbon JH (1939) The maintenance of life during experimental occlusion of the pulmonary artery followed by survival. Surg Gynecol Obstet 69:602–614
Boettcher W, Merkle F, Weitkemper HH (2003) History of extracorporeal circulation: the conceptional and development period. J Extra Corpor Technol 35:172–183
Crafoord C (1949) Some aspects of the development of intrathoracic surgery. Surg Gynecol Obstet 89:629–637
O’Shaughnessy L (1939) Future of cardiac surgery. Lancet 2:969–971
Crafoord C (1958) Operationen am offenen Herzen mit Herz-Lungen-Maschine (Stockholmer Modell). Langenbecks Arch Klin Chir 289:257–266
Crafoord C (1965) The development of cardiovascular surgery. J Cardiovasc Surg 6:1–12
Björk VO (1948) An artificial heart or cardiopulmonary machine. Performance in animals. Lancet 260:491–493
Jongbloed J (1949) The mechanical heart–lung system. Surg Gynecol Obstet 89:684–691
Dennis C, Spring DS, Nelson GE et al (1951) Development of a pump-oxygenator to replace the heart and lungs; An apparatus applicable to human patients and application in one case. Ann Surg 134:709–721
Dogliotti AM (1952) Clinical use of the artificial circulation with a note on intra-arterial transfusion. Bull Johns Hopkins Hospital 90:131–133
Dogliotti AM, Constantini A (1951) Primo caso di applicazione all′uomo di un apparecchio di circulazione sanguigna extracorporea. Minerva Chir 6:657–659
Lewis FJ, Taufic M (1953) Closure of atrial septal defects with the aid of hypothermia; experimental accomplishments, and the report of one successful case. Surgery 33:52–59
Gibbon JH (1954) Application of a mechanical heart and lung apparatus to cardiac surgery. Minnesota Med 37:171–187
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Yong, M.S., Horton, S.B., Konstantinov, I.E. (2013). On the Path to Cardiopulmonary Bypass: From Le Gallois’ Experiments to Brukhonenko’s Machine. In: Picichè, M. (eds) Dawn and Evolution of Cardiac Procedures. Springer, Milano. https://doi.org/10.1007/978-88-470-2400-7_11
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