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Prinzipien und Entwicklungsschritte der extrakorporalen Zirkulation

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Herzchirurgie

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Zusammenfassung

Die ersten klinischen Anwendungen der extrakorporalen Zirkulation erfolgten Anfang der 1950er Jahre. Innerhalb kurzer Zeit berichtete A.M. Dogliotti aus Turin über den ersten partiellen kardiopulmonalen Bypass (am 09.08.1951; von Segesser 2003), F.D. Dodrill über den ersten erfolgreichen Linksherzbypass (am 03.07.1952), J.H.Gibbon über den ersten erfolgreichen Eingriff am offenen Herzen mit der Herz-Lungen-Maschine (am 06.05.1953; Gibbon 1954) und C.W. Lillehei über die erste Operation mit Kreuzzirkulation, d. h. unter Einsatz eines zweiten Patienten als kontinuierlichem Spender von sauerstoffgesättigtem Blut (am 26.03.1954; ▸ Kap. 9). Die meisten Komponenten, welche für die extrakorporale Zirkulation notwendig waren, wurden damals von anderen medizin- und labortechnischen Verfahren übernommen bzw. in den spitaleigenen Werkstätten speziell für diesen Zweck hergestellt. Alle wesentlichen Bestandteile der Herz-Lungen-Maschine waren wiederverwendbar und mussten nach Gebrauch sorgfältig gereinigt und aseptisiert werden.

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  1. Service de chirurgie cardio-vasculaire, Rue du Bugnon 46, CH-1011, Lausanne

    Prof. Dr. med. L. von Segesser

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von Segesser, L. (2010). Prinzipien und Entwicklungsschritte der extrakorporalen Zirkulation. In: Herzchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79713-5_5

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