Cardiac surgery
By Dr. Haitham Nabeel
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, Cardiopulmonary bypass
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,Sir Henry Souttar
Sir Henry Souttar reported the frst mitral
commissurotomy in the British Medical
Journal, heart surgery was thought to be
impossible. Souttar wrote that the heart
should be as amenable to surgery as any
other organ, and the main problem was
maintenance of blood fow, particularly to the
brain, during surgery.
Your Date Here Your Footer Here
, Cardiopulmonary bypass
• CPB was first used successfully in 1953 by Gibbon and has since
revolutionised cardiac surgery.
• It can be used in any procedure in which the heart and lungs need to be
stopped temporarily and their function replaced artificially.
• Before Gibbon’s work, heart surgery was mostly confined to epicardial
procedures or crude trauma repair.
• However, valve surgery under direct vision was not possible, nor were the
precise reconstructions needed to treat extensive coronary artery disease
(CAD).
• Much of the success of modern CPB is attributable to the development of
new biomaterials and sophisticated oxygenating devices, as well as a grea
understanding of the pathophysiological consequences of CPB.
Your Date Here Your Footer Here
By Dr. Haitham Nabeel
Your Date Here Your Footer Here
, Cardiopulmonary bypass
Your Date Here Your Footer Here
,Sir Henry Souttar
Sir Henry Souttar reported the frst mitral
commissurotomy in the British Medical
Journal, heart surgery was thought to be
impossible. Souttar wrote that the heart
should be as amenable to surgery as any
other organ, and the main problem was
maintenance of blood fow, particularly to the
brain, during surgery.
Your Date Here Your Footer Here
, Cardiopulmonary bypass
• CPB was first used successfully in 1953 by Gibbon and has since
revolutionised cardiac surgery.
• It can be used in any procedure in which the heart and lungs need to be
stopped temporarily and their function replaced artificially.
• Before Gibbon’s work, heart surgery was mostly confined to epicardial
procedures or crude trauma repair.
• However, valve surgery under direct vision was not possible, nor were the
precise reconstructions needed to treat extensive coronary artery disease
(CAD).
• Much of the success of modern CPB is attributable to the development of
new biomaterials and sophisticated oxygenating devices, as well as a grea
understanding of the pathophysiological consequences of CPB.
Your Date Here Your Footer Here
