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Ann Thorac Surg 1982;34:208-220
© 1982 The Society of Thoracic Surgeons

Articles

An Epitaph for Cavopulmonary Anastomosis

Francis Robicsek, M.D.*

From the Department of Thoracic and Cardiovascular Surgery and the Heineman Laboratory for Cardio-Pulmonary Research, Charlotte Memorial Hospital and Medical Center, Charlotte, NC

Accepted for publication May 22, 1981.

* Address reprint requests to Dr. Robicsek, The Sanger Clinic, PO Box 220868, 1960 Randolph Rd, Charlotte, NC 28207

Cavopulmonary anastomosis was developed by several surgical groups working independently and probably unaware of each other. In a most unusual way, the primary discoveries were left unnoticed, the initial trials were not followed up, and the first clinical successes were generally disregarded. After that, however, there was intensive experimental and clinical activity during which the physiology of this new operation was studied intensively and it was applied in a large number of clinical cases. After the development of more radical procedures, the operation gradually fell into disuse. This essay discusses the place of the cavopulmonary shunt in surgical history.




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Copyright © 1982 by The Society of Thoracic Surgeons.