Foreign bodies in and in relation to the thoracic blood vessels and heart

Harken, Dwight E.; Williams, Ashbel C.

doi:10.1016/0002-9610(46)90139-0

Cited by 69 publications

(16 citation statements)

References 3 publications

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“…Such aneurysms are very rare in either ventricle after accidental trauma, whether open or closed (Joachim and Mays, 1927;Lyons and Perkins, 1958;Kerr, Wilcken, and Steiner, 1961 ;Stansel et al, 1963;Panday, Parulkar, Kelkar, and Sen, 1965). Harken (1946) found no aneurysm among 56 patients with war wounds close to the heart, even though in 13 instances the missile was found within a cardiac chamber. Aneurysms following closed injuries have been reported by Bright and Beck (1935) and Barber (1944).…”

Section: Aneurysm Caused By Myocardial Infarction Duementioning

confidence: 99%

Cardiac ventricular aneurysm

Harley

1969

Thorax

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A case of successful excision of a ventricular aneurysm due to myocardial infarction is presented. The aetiology, incidence, pathogenesis, pathology, clinical features, and diagnosis of the condition are discussed. An account is given of the haemodynamic upset caused by aneurysms of the ventricle. The prognosis of untreated aneurysms is discussed. Although there is difference of opinion, it is concluded that a ventricular aneurysm adversely affects the prognosis after myocardial infarction. The indications for, and the mortality and results of, resection of ventricular aneurysms are discussed. The conclusion is drawn that persistent cardiac failure and angina can be relieved and the risk of systemic embolism reduced by the excision of expansile ventricular aneurysms of a fibrous nature. It is possible that excision may also reduce the incidence of subsequent acute myocardial infarction.

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Section: Aneurysm Caused By Myocardial Infarction Duementioning

confidence: 99%

Cardiac ventricular aneurysm

Harley

1969

Thorax

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“…Dwight Harken claimed, in the preamble to one of his historical films, that the first step in his astoundingly successful series of World War II intracardiac operations was that he himself standardized all the surgical and anesthetic equipment. 35 The more retiring Joe Barr was attempting to further his pioneering work in disc surgery. 36 Each encouraged his trainees and colleagues to participate on equipment standardization committees.…”

Section: Discussionmentioning

confidence: 99%

Equipment Standards: History, Litigation, and Advice

Hedley-Whyte¹,

Milamed²

1999

Annals of Surgery

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SummaryThe authors present a concise history of the development of national and international standards for surgical equipment. Standards-writing organizations, surgical and other specialty societies, universities, test houses, and the U.S. government have influenced this process, which is now manifested in complex interactions between national and international standards-writing organizations, and in CE (Conformité Europeene) marks being placed on surgical equipment in the United States and elsewhere. The history of litigation in standards development is also reviewed. Recommendations to maximize patient safety and to help ensure successful, costeffective defense in litigation for surgeons who use equipment and may suffer its malfunctions are given. Overall, the complicated oversight of surgical equipment standards and the approval process appears to be contributing to the improving and outstanding results of U.S. surgery reported by the U.S. government.

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“…There was no mention of this condition in Harken's (1946) A zone of necrosis within the suture line was a constant feature. In cases of wound rupture it was found that the suture had produced considerable necrosis.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…There was no mention of this condition in Harken's (1946) report concerning the late removal of 56 missiles from the heart, though it is stated that the only fragment that involved the left ventricle was found in a small cystic myocardial hernia.…”

Section: Review Of the Literaturementioning

confidence: 99%