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I joined Dr. Kolff full time in June 1972. Prior to that date I was a
consultant to his artificial heart research. Until 1972 all artificial
hearts were implanted into calves/sheep by clinically trained surgeons
and they used the mid-sternal approach that was routine to get maximal
exposure/access to the heart. If one can visualize a quadruped
attempting to stand after its sternum had been split with all of the
forces/weight of the front end of the animal forcing the sternum to
divide. This induced a great deal of pain and the recovery from surgery
was greatly retarded.
My greatest contribution and global achievement was to introduce the left
lateral thoracotomy approach, and to standardize the entire surgical procedure
in implanting blood pumps in calves/sheep. All groups, both Foreign and
domestic, doing research on both ventricular assist devices (VADs) and total
artificial hearts (TAHs) adopted my demonstrated left lateral surgical approach
and standardized procedures. |