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Srpski arhiv za celokupno lekarstvo
2016, vol. 144, br. 11-12, str. 670-675
jezik rada: engleski
vrsta rada: istoriografski prilog
doi:10.2298/SARH1612670S


Pronalazak kardiopulmonalnog bajpasa - istorijski pregled
aMedicinski fakultet, Novi Sad + Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiovaskularnu hirurgiju, Sremska Kamenica
bInstitut za kardiovaskularne bolesti Vojvodine, Klinika za kardiovaskularnu hirurgiju, Sremska Kamenica

e-adresa: bogdanokiljevic@gmail.com

Sažetak

Ideja o izolovanoj perfuziji organa, koja je preteča kardiopulmonalnog bajpasa, dolazi od Legaloe 1812. godine. Prva izolovana perfuzija organa je opisana od strane Lebela 1849. godine. Prvi zatvoren sistem za oksigenaciju i vraćanje krvi kroz arterije je konstruisan od strane Freja i Grubera 1885. godine. Gibon mlađi se smatra ocem ekstrakorporalne cirkulacije. On je počeo da konstruiše mašinu za ekstrakorporalnu cirkulaciju na proleće 1934. godine. Prvi opis ovog sistema daje 1937. godine, a 1947. godine dobija podršku za razvoj mašine od International Business Machines Corporation. Oni razvijaju Model I 1949. i Model II 1951. godine. Posle nekoliko neuspešnih pokušaja 1952. godine, 6. maja 1953. godine je prvi put uspela operacija na srcu (zatvaranje atrijalnog septalnog defekta) uz pomoć kardiopulmonalnog bajpasa. Godine 1945. Kirklin i njegova radna grupa publikuju prvu seriju od osam uspešno tretiranih pacijenata uz pomoć ekstrakorporalne cirkulacije. Dodril je izveo prvu uspešnu operaciju zalistaka pod kontrolom oka 1952. godine, korišćenjem mašine Michigan heart kao bajpasa desnog srca. Uz pomoć mašine za ekstrakorporalnu cirkulaciju kardiohirurzi su u mogućnosti da rešavaju kompleksne srčane bolesti i da spasu milione života.

Ključne reči

pronalazak; istorija; kardiopulmonalni bajpas; ekstrakorporalna cirkulacija; Gibon

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