The Surgical Management of Coronary Artery Disease: Background, Rationale, Clinical Experiences

Article1 December 1956THE SURGICAL MANAGEMENT OF CORONARY ARTERY DISEASE: BACKGROUND, RATIONALE, CLINICAL EXPERIENCESCLAUDE S. BECK, M.D., BERNARD L. BROFMAN, M.D.CLAUDE S. BECK, M.D.Search for more papers by this author, BERNARD L. BROFMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-45-6-975 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThis presentation is based upon the direct approach to the coronary blood supply to the heart. About 5,000 experimental operations have been carried out on dogs in the last 23 years.1 The facts here presented were determined by observations made directly on the heart. What actually happened in these experiments determined the facts which make up this presentation. With this foundation the facts should have enduring value.To illustrate how the observation of a fact destroys a preconceived idea, the following incident is cited: On June 21, 1955, a 65 year old physician had anginal pain. The next day...Bibliography1. BeckLeighninger CSDS (a) : Scientific basis for the surgical treatment of coronary artery disease, J. A. M. A. 159: 1264, 1955. (b) Beck, C. S., and Leighninger, D. S.: Operation for coronary artery disease, J. A. M. A. 156: 1226, 1954. CrossrefMedlineGoogle Scholar2. BrofmanLeighningerBeck BLDSCS: Electric instability of the heart. The concept of the current of oxygen differential in coronary artery disease, Circulation 13: 161, 1956. CrossrefMedlineGoogle Scholar3. SelmanBrofman MWBL: The effect of hypothermia on survival rates following coronary occlusion in dogs, Surgery 37: 707, 1955. MedlineGoogle Scholar4. YaterBeckLeighningerBrofman WMCSDSBL: Symposium on coronary arterial disease, Am. Rev. Tuberc. 71: 904, 1955. MedlineGoogle Scholar5. MautzGregg FRDE: The dynamics of collateral circulation following chronic occlusion of coronary arteries, Proc. Soc. Exper. Biol. and Med. 36: 797, 1937. CrossrefGoogle Scholar6. ZollWesslerSchlesinger PMSMJ: Interarterial coronary anastomosis in the human heart with particular reference to anemia and relative cardiac anoxia, Circulation 4: 797, 1951. CrossrefMedlineGoogle Scholar7. Lindgren I: Angina pectoris: a clinical study with particular reference to neurosurgical treatment, Acta med. Scandinav. (supp. 243) 138: 1, 1950. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*Received for publication April 20, 1956.Presented at the postgraduate course of the American College of Physicians on The Heart—Recent Advances in Diagnosis and Treatment, at the University of Kansas Medical Center, March 21, 1956, under the directorship of E. Grey Dimond, M.D., F.A.C.P.From the Western Reserve University School of Medicine, University Hospitals, and Mount Sinai Hospital, Cleveland, Ohio.Supported by grants from the United States Public Health Service and the Cleveland Area Heart Society.Requests for reprints should be addressed to Claude S. Beck, M.D., Lakeside Hospital, 2065 Adelbert Road, Cleveland 6, Ohio. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPatients’ profiles in end stage coronary artery diseaseAortocoronary sinus anastomosis: A postoperative follow-up 24 years laterRevascularization of the Myocardium : a Simple Procedure— A 15-Year StudyThe Beck-I Operation for Angina Pectoris Medical AspectsBibliographyLong term influence of the beck operation for coronary heart disease∗An Evaluation of Internal-Mammary-Artery Ligation by a Double-Blind TechnicCoronary heart disease III. Chronic arrhythmias as influenced by the beck operationCoronary heart diseaseCoronary heart diseaseThe holistic approach to angina pectorisGeneral considerations in treatment of myocardial infarctionCoronary heart diseaseCoronary artery diseaseBilateral internal mammary artery ligation for angina pectorisSurgical Treatment of Ischæmic Heart-disease 1 December 1956Volume 45, Issue 6Page: 975-988KeywordsBloodElectrocardiographyHeartHospital medicineInfarctionInflammationMedical servicesMyocardial infarctionStable coronary artery diseaseStenosis ePublished: 1 December 2008 Issue Published: 1 December 1956 Copyright & PermissionsCopyright ©, 1956, by The American College of PhysiciansPDF downloadLoading ...