John Gibbon and the heart-lung machine: a personal encounter and his import for cardiovascular surgery Michael E. DeBakey, MD The Annals of Thoracic.

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Presentation transcript:

John Gibbon and the heart-lung machine: a personal encounter and his import for cardiovascular surgery Michael E. DeBakey, MD The Annals of Thoracic Surgery Volume 76, Issue 6, Pages S2188-S2194 (December 2003) DOI: 10.1016/j.athoracsur.2003.09.009

Fig 1 Autographed photograph of Dr John Gibbon. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 2 Photograph taken in Dr Gibbon's laboratory, showing an early version of his heart-lung machine. (Courtesy of J. H. Gibbon, Jr. Reprinted with permission from Gibbon JH et al. Arch Surg 1937; 34:1109.) The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 3 Schematic drawing of the DeBakey roller pump. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 4 Autographed photograph of operating room scene during first successful use of the Gibbon heart-lung machine. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 5 Photograph showing plaque given to Dr Gibbon on the occasion of his Baylor Visiting Professorship. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 6 Photograph during presentation of 1968 Albert Lasker Award showing Michael E. DeBakey, Lasker Jury Chairman, Mary Lasker, and John Gibbon, Lasker Awardee in 1968. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 7 Drawing showing use of heart-lung machine to assist patient's failing heart following aortic valve replacement. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 8 Drawing showing experimental model of ventricular assist device, consisting of an outer rigid structure with two chambers, a blood chamber and an air chamber, with a diaphragm separating the two that could be compressed to force the blood out with valves that allowed for unidirectional flow so oxygenated blood came from the left atrium and was then pumped into the aorta by connection of the outflow graft to the left axillary artery. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 9 Photograph of a calf showing the extracorporeal ventricular assist device attached to the left thorax in the experimental laboratory. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 10 Drawing showing method of connecting left ventricular bypass pump to left atrium for in-flow and to right axillary artery for out-flow. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 11 Photograph showing patient out of bed on fourth postoperative day with the extracorporeal ventricular assist device. (Reprinted from DeBakey ME, Left ventricular bypass pump for cardiac assistance, Am J Cardiol 1971;27:5. Used with permission of Excerpta Medica, Inc.) The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 12 Photographs of patient referred to in Figure 11 1 year after operation. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 13 Drawing showing the structure of the axial flow ventricular assist device developed with the collaboration of NASA engineers at the Johnson Space Center. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 14 Photograph of the MicroMed DeBakey Ventricular Assist Device showing inflow tube on right and outflow Dacron graft with flow meter on left. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 15 Drawing showing method of implantation of pump with connection to extracorporeal controller and batteries supported on belt or carried on shoulder pack. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 16 Roentgenogram of the chest of a 32-year-old woman with dilated cardiomyopathy showing the position of the ventricular assist device with the inflow tube in the left ventricle and the outflow graft to the ascending aorta. This patient later had a successful heart transplant. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)

Fig 17 Photograph showing patient with the MicroMed DeBakey Ventricular Assist Device after climbing the 346 steps to the top of the St. Stephen's Cathedral in Vienna. This patient has since had a successful heart transplant. The Annals of Thoracic Surgery 2003 76, S2188-S2194DOI: (10.1016/j.athoracsur.2003.09.009)