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Medical and Surgical Management of Tachyarrhythmias (Paperback, Softcover reprint of the original 1st ed. 1980)
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Discovery Miles 27 750
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Medical and Surgical Management of Tachyarrhythmias (Paperback, Softcover reprint of the original 1st ed. 1980)
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The first cardiovascular operation in Duesseldorf, a ligation of an
open ductus arteriosus (Botallo), was performed in 1938 by E. K.
Frey. During the Second World War and the subsequent years many
difficulties hindered cardiovascular surgery in Duesseldorf.
However, it was resumed on 3 May 1949 by Prof. Ernst Derra, again
by ligating an open ductus arteriosus. This was the starting pOint
of the successful cooperation between the cardiological and
surgical working groups - the "birthday" of the Duesseldorf Heart
Centre. Further highlights in cardiac surgery were the introduction
of open heart surgery by means of surface-cool- ing hypothermia (9
February 1955) and extracorporeal circulation (21 February 1959) .
In addition to cardiac catheterization and surgery in patients with
acquired and congenital heart disease, the diagnosis and treatment
of arrhythmias was one of the focal points of the centre. On 3
October 1961 the first pacemaker was implanted in a patient with a
third-degree AV-block after he had been treated using an external
device for about 1 year. In recent years interest has increasingly
turned to the tachy- arrhythmias. Close cooperation between the
medical and surgical teams made possible the application of new
pacing techniques for the treat- ment of tachycardia. In patients
with intractable arrhythmias, surgical interventions were made to
eliminate the "focus" of the arrhythmia. In the past 2 years
intraoperative electrophysiologic studies (endo-cardi- al and
epicardial mapping) were applied to enhance the success of the
surgical procedures.
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