The History of Surgery for Ischemic Heart Disease and Mechanical Complications of Myocardial Infarction After the Advent of CPB

  • Roland G. Demaria
  • Mohammed Al Yamani


The birth of modern coronary surgery was not possible before two separate innovations: cardiopulmonary bypass (CPB) in 1953 and coronarography in 1958. After that, coronary endarterectomies with pericardial or venous patches were replaced by venous bypasses, and finally internal mammary artery (IMA) bypasses. Myocardial protection was improved. Sternotomy became the standard approach and surgeons used more and more microsurgical techniques. The co-existence of both techniques in large centers like the Cleveland Clinic Foundation, Ohio, USA allowed large clinical studies and rapid development of this surgery worldwide. One of the greatest developments in surgery is thanks to the use of two new tools, one diagnostic and one therapeutic, at the same time, and in the same place, and to the work and imagination of great pioneers, in these very favorable conditions.


Leave Anterior Descend Cleveland Clinic Internal Mammary Artery Mechanical Complication Cardioplegic Arrest 
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© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Department of Thoracic and Cardio-Vascular SurgeryMontpellier University Hospital Arnaud de VilleneuveMontpellierFrance

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