Surgery of the «dry» heart in conditions of hypothermia. From the origins to the middle of the XX century

This paper presents the main achievements in our country and abroad in the development of operations on the «dry» heart. The merits of a prominent Russian surgeon, Professor N.N. Terebinsky, were noted. The fact is analyzed that in his work N.N. Terebinsky used the «Autojector» device, invented by the physiologist-innovator and scientist S.S. Bryukhonenko in 1924. This remarkable discovery made it possible for surgeons to perform operations on the septa and heart valves using artificial blood circulation under the control of vision. It is shown that the general cooling of a warm-blooded organism with a highly developed thermoregulation system is very difficult to tolerate and, when the temperature drops to a certain level, leads to the death of an animal and a person. The first studies on this issue, which in the USSR belonged to A.N. Bakulev, P.A. Kupriyanov, V.I. Burakovsky, I.R. Petrov, B.V. Petrovsky, G.A. Ryabov, are analyzed. It is shown that P.A. Kupriyanov for the first time in the Soviet Union (1955) performed an operation on a «dry» heart under hypothermia, removing the fibrous ring under the control of vision with tetrad Fallot. At that time, operations on a «dry» heart under hypothermia posed a danger to the lives of patients and therefore were used in isolated cardiac clinics with caution.

1. Petrov I.R. Oxygen starvation of the brain. L., 1949, 211 p. (In Russ.)

2. Filatov A.N. The life and scientific activity of I.R. Petrov (To the 80th anniversary of his birth). Bulletin of Surgery, 1974, № 3(12), pp. 107–111. (In Russ.)

3. Mirsky M.B. Surgery from antiquity to modernity. Essays on history. Moscow: Nauka, 2000, 798 p. (In Russ.)

4. Glyantsev S.P. The phenomenon of genius: On the question of the origin and development of the idea of artificial blood circulation. Philosophical School, 2019, № 9, рp. 78–86. (In Russ.)

5. Bogopolsky P.M., Glossev S.P. Nikolay Naumovich Terebinsky and his contribution to heart surgery (to the 75th anniversary of the publication of the monograph “Materials on the study of open access to atrioventricular heart valves”). Wedge. and experiment. hir. Journal named after Academician B.V. Petrovsky, 2015, № 3, pp. 5–17. (In Russ.)

6. Zhanetova M.M. 140 years since the birth of Professor Nikolai Naumovich Terebinsky. Bulletin of Operative Surgery and Topographic Anatomy, 2020, Vol. 1, № 1 (1), pp. 14–19. (In Russ.)

7. Mayat V.S. Nikolay Naumovich Terebinsky (To the 95th anniversary of his birth). Surgery. Journal named after N.I. Pirogov, 1975, № 2, pp. 147–148. (In Russ.)

8. Terebinsky N.N. Materials on the study of open access to atrioventricular heart valves. Experimental research. M. : Medgiz, 1940, 88 p. (In Russ.)

9. Terebinsky N.N. On experimental reproduction of heart valve defects. Dokl. USSR Academy OF Sciences, 1930, ser. A, № 22, pр. 601. (In Russ.)

10. Terebinsky N.N. The possibility of using full artificial blood circulation in experimental intracardiac operations. Surgery, 1950, №. 1, pp. 8–11. (In Russ.)

11. Bigelow W.G., Callaghan J.C., Hopps J.A. General hypothermia for experimental intracardiac surgery. Ann. Surg., 1950, № 132, pp. 531.

12. Boerema J., Wildschut A., Schmidt W.G.H. Experimental research into hypothermia as an aid in the surgery of the heart. Arch. Chir. Neederlandicum, 1951, vol. 111, № 1, pp. 25–54.

13. Burakovsky V.I., Muravyev M.V. et al. Surgery on a “dry” heart under hypothermia in the surgery of congenital heart defects. Thoracic surgery, 1961, № 3, pp. 15–19. (In Russ.)

14. Burakovsky V.I., Gubler E.V. Switching off the heart from circulation under general cooling in an experiment. Proceedings of the XXVI Congress of Surgeons. M., 1956, 177 p. (In Russ.)

15. Levit V.S. Brief essays on the history of Soviet surgery. M. : Medgiz, 1960, 200 p. (In Russ.)

16. Morgoshiia T.Sh., Sergeeva G.P. The development of domestic surgery of the heart and large vessels in the first half of the XX century. Angiology and Vascular Surgery, 2020. vol. 26. № 4, pp. 184–191. (In Russ.)