The history of pediatric cardiology and cardiovascular surgery
Download
1 / 53

The History of Pediatric Cardiology and Cardiovascular Surgery - PowerPoint PPT Presentation


  • 185 Views
  • Uploaded on

The History of Pediatric Cardiology and Cardiovascular Surgery. Pediatric cardiology and pediatric cardiac surgery have developed interdependently. CHD: Primordial heart?. FISH 1A+1V AMPHIBIA 2A+1V Snakes rudiment. VS REPTILES 2A+2V Turtles spongy VS

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The History of Pediatric Cardiology and Cardiovascular Surgery' - diem


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
The history of pediatric cardiology and cardiovascular surgery l.jpg
The History of Pediatric Cardiology and Cardiovascular Surgery

Pediatric cardiology and

pediatric cardiac surgery

have developed

interdependently


Chd primordial heart l.jpg
CHD: Primordial heart? Surgery

  • FISH 1A+1V

  • AMPHIBIA 2A+1V Snakes rudiment. VS

  • REPTILES 2A+2V Turtles spongy VS

  • BIRDS 2A+2V Alligators VSD

  • MAMMALS 2A+2V






Early scientific foundations l.jpg
Early scientific foundations Surgery

  • 1785 William Withering introduces Foxglove

  • 1790 Luigi Galvani--electrical stimulation of frog muscle

  • 1808 Humphrey Davy identifies Na, K, Mg, Ca, Sr, & Ba

  • 1830s Claude Bernard--wide-ranging experiments

  • 1830s Michael Faraday--electricity: anode, cathode, electrolyte, anion and cation.

  • 1880s Joseph Lister--antiseptic surgery (phenol)

  • 1883 Ringer shows that K inhibits, Ca stimulates heart

  • 1887 Augustus Waller--Hg cardiogram

    • 1903 Willem Einthoven invents the string galvanometer EKG

  • 1895 Wilhelm Conrad Roentgen--X-Rays

  • 1896 Scipinio Riva-Rocci--Hg sphygmomanometer

  • 1900 Karl Landsteiner--biocompatibility, ABO system


The danger of touching the heart l.jpg
The danger of touching the heart Surgery

"Surgery of the heart has probably reached the limits set by Nature to all surgery. No method, no new discovery, can overcome the natural difficulties that attend a wound of the heart."

Stephen Paget, 1896

The Surgery of the Chest


Anesthesia for thoracic surgery l.jpg
Anesthesia for Thoracic Surgery Surgery

21 And the LORD God caused a deep sleep to fall upon Adam, and he slept; and he took one of his ribs, and closed up the flesh instead thereof.

22 And the rib, which the LORD God had taken from man, made he a woman, and brought her unto the man. -- Genesis 2


Slide14 l.jpg

Humphrey Davy--1800 Surgery

“As nitrous oxide in its extensive operation appears capable of destroying physical pain, it may probably be used with advantage during surgical operations…”


Slide15 l.jpg

Crawford W. Long--1842 Surgery

Horace Wells--1844

William T.G. Morton--1846

Charles Jackson--1846


Control of the airway l.jpg
Control of the airway Surgery

But that life may in a manner of speaking be restored to the animal, an opening must be attempted in the trunk of the trachea, into which a tube of reed or cane should be put; you will then blow into this, so that the lung may rise again and the animal take in air. Andreas Vesalius, 1543


Slide17 l.jpg

  • John Hunter—1667 Surgery

  • James Curry—1815

  • John Snow—1858

  • J O’Dwyer—1885 (peroral)

  • Rudolph Matas—1902




Heart lung bypass l.jpg
Heart-lung bypass Surgery

Von Frey and Gruber--1885


Early open heart surgery with heart lung machine l.jpg
Early Open Heart Surgery With Heart-lung Machine Surgery

  • C.Dennis 1952 2/2 Died

  • J.Gibbon 1953 5/6 Died

  • J.Helmsworth 1953 1/1 Died

  • D.Dodrill 1953 2/2 Died

  • G.Clowes 1953 2/2 Died

  • W.Mustard 53/54 5/5 Died

    17/18 94.5%


Controlled cross circulation 3 26 54 7 19 55 l.jpg
Controlled Cross-circulation Surgery3/26/54-7/19/55

  • NO. MORT. <2Y MORT.

  • VSD 28 8(28%) 16 6(37%)

  • TOF 11 4(36%) 5 3(60%)

  • CAVC 4 3(75%) 3 2(67%)

  • IPS 2 0

  • 45 15(33%) 24 11(49%)


The price of innovation l.jpg
The price of innovation Surgery

The more radical (important) the innovation, the greater the ridicule and vilification by colleagues

  • William Harvey

  • Ludwig Rehn

  • Humphrey Davy

  • Horace Wells

  • Rudolph Matas

  • Werner Forssmann

  • John Gibbon


Slide41 l.jpg

“I did not repeat the operation because I could not get another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”


Ped card hx nadas l.jpg
PED CARD HX:NADAS another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”


Extracardiac repair and palliation l.jpg
Extracardiac Repair and Palliation another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”

  • PDA R.GROSS 08/26/38

  • COARCT. C.CRAFOORD 10/01/44

  • S-P SHUNT BLALOCK-TAUSSIG 11/29/44

  • P-A BAND DAMMON-MULLER 1952


Pediatric cardiac surgery l.jpg
Pediatric Cardiac Surgery another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”

1953-1969

* Early Palliation

* Elective Repair at ± 5 to 6 Years

1970-1982

* Primary Repair in Infancy

1983* Primary Repair in Neonates


Surgical mortality according to age and years l.jpg
Surgical Mortality According To Age And Years another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”


Pediatric cardiology summary l.jpg
Pediatric Cardiology: Summary another case. Although my patient made an uninterrupted recovery, the Physicians declared that it was all nonsense and in fact the operation was unjustified. In fact, it is on no use to be ahead of one’s time.”

  • 1938-Essentially no Rx for CHD

    • Pioneers-pathologists, cardiologists, surgeons, imaging experts, intensivists, interventionalists

  • 2002-Rx for virtually all CHD, BUT mort./morb.:

    • ventricular function

    • arrhythmia

    • cns

    • valves/conduits

    • pulm hypertension

  • New frontiers-causation, gene-based Rx, CHF Rx, Arrhythmia Rx, imaging, safety of CPB, PVR

  • An incredibly exciting run--much for the future


ad