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JAMES F. DICKSON III, M.D.; JAMES W. DOW, M.D.; NEIL A. J. HAMER, M.R.C.P.

Arch Intern Med. 1960;106(5):639-646.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In potentially reversible situations with diminished cardiac outputs such as acute myocardial infarction, massive pulmonary embolism, and intractable congestive heart failure due to a lesion amenable to surgery, mechanical support of the circulation for a number of days may be useful.^1,2 Animal work has shown that it is possible to relieve acute heart failure by pumping blood from the great veins to the aorta,³ and artificial heart-lung apparatus has been used for short periods in man.^4,5

An extracorporeal circuit ⁶ for prolonged circulation support is presented. Blood is drained by gravity from the superior vena cava and pumped without oxygenation into the aorta at the bifurcation. The splanchnic bed is perfused by a mixture of oxygenated blood and blood from the shunt. The procedure tends to increase systemic blood flow and reduce cardiac output. The system is closed so that the dangers of contamination and air embolism . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the Boston City Hospital, and the Circulation Laboratory of The Presbyterian Hospital and The Glover Clinic, Philadelphia.

Footnotes
Submitted for publication Nov. 10, 1959.

Presented as an exhibit in the Diseases of the Chest Section of the Scientific Exhibits of the Annual Meeting of the American Medical Association at Atlantic City, June 8-12, 1959. Solicited and accepted as a regular paper.

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