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The History of Pulmonary Embolectomy Before the Advent of CPB

  • Marco Vola
  • Jean-Francois Fuzellier
Chapter

Abstract

The history of the surgical approach to pulmonary embolism before the advent of CPB was exclusively limited to acute forms and very much associated with the person of Friederich Trendelenburg. He observed that the time between the onset of the embolism and ensuing death allowed time for acute surgical treatment. He developed in animal studies (1907) a surgical procedure for pulmonary embolectomy, later known as the Trendelenburg operation. Only after his death, his pupil, Martin Kirschner successfully removed clots from the arterial pulmonary artery of a 38-year-old woman. Sporadic reports of the procedure were issued until the advent of cardiopulmonary bypass, which increased the opportunities for disseminating the practice of surgical embolectomy. Chronic constrictive pericarditis had been anatomically described by Galen (AD 160), but the surgical usefulness of liberating the ventricles was suggested by Weill in 1895. A surgical technique of pericardial decortication was presented by Delorme in 1898, and was performed by Rehn in 1913 on a human being. Current surgical decortications follow the same principles, but are practiced after an accurate topographic evaluation of the pericardium.

Keywords

Pulmonary Artery Pulmonary Embolism Cardiopulmonary Bypass Constrictive Pericarditis Pectoralis Major Muscle 
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.

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Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Service de Chirurgie CardiovasculaireCentre Hospitalier UniversitaireSt-Priest en JarezFrance

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