Nikolai N. Terebinsky and his contribution to heart surgery (to the 75th anniversary of the publication of the monograph «Materials for the Study of open access to the atrioventricular valves of the heart»)
Abstract The priorities and the contribution of NN Terebinsky in heart surgery are clarified. Based on the analysis of the works of NN Terebinsky of 1930–1950-ies and a number of historical studies, the authors came to the following conclusions:
1. In 1930, N.N. Terebinsky proved that operations on the stopped heart with cardiopulmonary bypass at the level of technology of the time were impossible, and it meant that the open heart surgery in 1930-ies could not start.
2. In 1938–1940 N.N. Terebinsky first in the world showed that operations under visual control were possible on the beating heart, in conditions of termination of the venous blood return to the heart and with an aid of a carotid retrograde coronary perfusion. N.N. Terebinskity found that conditions for a successful operation and long-term survival of experimental animals after open heart surgery were as follows: using of blood stabilized by non-toxic anticoagulant for retrograde perfusion; the prevention of ventricular fibrillation; the prevention of air embolism of the coronary arteries, as well as a high level of training of the surgeon and the constant exercise in heart surgery, allowing you to maintain a high technical form and manual skills.
3. Under these conditions short-term (up to 5 min) intracardiac procedures for modeling of valvular disease could be carried out; the duration of life of dogs with cardiac valvular disorders is enough to perform a reconstructive surgery some time later.
4. By using the created models of heart valve defects a technique of reconstructive surgery as well as a radical correction of defects can be practiced, then the animals can live for several years.
5. The Great Patriotic War of 1941–1945 has interrupted the experimental studies of N.N. Terebinsky, however, they have played an important role in the origin of heart surgery in the USSR in the 1940-s. 6. N.N. Terebinsky's monograph «Materials for the Study of open access to the atrioventricular valves of the heart» (1940) was the first in the world book dedicated to the experimental open heart surgery.
Keywords:cardiac surgery, valvular disorders, priorities and contributions of N.N. Terebinsky
Clin. Experiment. Surg. Petrovsky J. 2015. № 3. Р. 5–17.
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