Assisted Circulation

1. Front Matter

   Pages I-XXIII

   PDF

2. Historical Background

   1. Historical Background

      • C. Dennis

      Pages 1-2

3. Introduction

   1. Introduction

      • F. Unger

      Pages 3-6

4. Medical Research and the Doctor’s Conscience

   1. Medical Research and the Doctor’s Conscience

      • K. Küng

      Pages 7-10

5. Questions and Predictions

   1. Questions and Predictions

      • W. J. Kolff

      Pages 11-12

6. Counterpulsation

   1. Front Matter

      Pages 13-13

      PDF

   2. Introduction

      • F. Unger

      Pages 15-19

   3. Counterpulsation: Foundation and Future, with a Tribute to William Clifford Birtwell (1916–1978)

      • D. E. Harken

      Pages 20-23

   4. Intra-aortic Balloon Pumping: Current Status and Prospects

      • A. Kantrowitz

      Pages 24-30

   5. Clinical Experience with Intra-aortic Balloon Pumping and the Pulsatile Assist Device

      • D. Bregman

      Pages 31-39

   6. Clinical Results of Intra-aortic Balloon Pumping in Selected Groups of Patients

      • E. R. de Vivie, K. Hellberg

      Pages 40-46

   7. Indications for Intra-aortic Balloon Pumping

      • E. Wolner

      Pages 47-55

   8. Changing Role of Cardiac Assistance in the Management of Myocardial Infarction Shock

      • Hiltrud S. Mueller

      Pages 56-66

   9. The State of Assisted Circulation in the USSR

      • V. Shumakov

      Pages 67-70

   10. The Present Status of External Counterpulsation

       • W. C. Birtwell, J. Homma, J. C. K. Hui, H. S. Soroff

       Pages 71-78

   11. Hemodynamic Response to External Counterpulsation

       • J. Hötzel, M. Tauchert

       Pages 79-84

7. Left Ventricular Assist Devices

   1. Front Matter

      Pages 85-85

      PDF

   2. Introduction

      • F. Unger

      Pages 87-95

   3. Bypass Ventricles

      1. A Left Ventricular Aortic Blood Pump for Circulatory Support in Postoperative Patients With Acute Left Ventricular Failure

         • W. F. Bernhard, C. G. LaFarge, J. G. Carr, J. T. Keiser

         Pages 96-106

      2. An Intracorporeal (Abdominal) Left Ventricular Assist Device: Initial Clinical Trials (LX)

         • J. C. Norman, J. M. Fuqua, R. Trono, C. W. Hibbs, C. H. Edmonds, S. R. Igo et al.

         Pages 107-126

J. Navratil The performance of operations on the heart and its replacement by a trans­ planted or artificial heart has been an age old dream of man. Rehn for example in an early attempt, in 1868 performed a closure of a heart wound after a thoracic puncture. At that time noone thought that this attempt was the beginning of cardiac surgery. The dream was partially realized when the replacement of the heart function by the heart-lungmachine became possible. Immediately following the first operations, cardiac surgeons and cardiologists saw with great enthusiasm that this machine could be an important tool for correcting congenital and non­ congenital heart diseases. However, the heart-lungmachine was soon seen to not be an optimal instrument for controlling cardiac failure after cardiopulmonary bypass or myocardial infarction. then arose for the development of mechanical assistance to the heart. Concepts The rollerpump was first designed for assisted circulation and could be applied clinically in 1962. A new concept of mechanical assistance to the heart was pro­ vided by the intra aortic balloon pump and later by the bypass ventricles. Use of the intra aortic balloon pump can reduce cardiac work by counterpulsation in accord with the natural ECG. The bypass ventricle can functionally replace the heart in series or parallel to the natural heart. The intra aortic balloon pump, now an established method, has reduced the number of patients who used to die from cardiac failure.

• Surgery
• bypass
• cardiac surgery
• diseases
• heart

• Surgical Clinic, University of Innsbruck, Innsbruck, Austria

  Felix Unger

Policies and ethics