0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

ARTIFICIAL MAINTENANCE OF CIRCULATION DURING EXPERIMENTAL OCCLUSION OF PULMONARY ARTERY

JOHN H. GIBBON Jr., M.D.
Arch Surg. 1937;34(6):1105-1131. doi:10.1001/archsurg.1937.01190120131008.
Text Size: A A A
Published online

Approximately one hundred and forty-two Trendelenburg operations for massive pulmonary embolism have been reported, and only nine of the patients operated on have left the hospital as cured.1 This exceedingly high mortality is due to the critical condition of the patient and to the operative procedure, which entails the complete throttling of the great vessels leading from the heart for a brief period. Because of the difficulty in diagnosis and the uncertain prognosis, Nyström2 advised postponing the operation until the patient is practically moribund. Then, as Churchill3 has stated, "the procedure could perhaps be more properly termed an immediate postmortem examination than a surgical operation."

Nyström and Blalock4 have demonstrated experimentally that occlusion of the pulmonary artery alone may be safely maintained for a longer period than occlusion of both the pulmonary artery and the aorta. Kiser1 found that constriction of the afferent vessels of

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();