Cardiac Diagnostic and Surgical Facilities in the United States

Crocetti, Annemarie F.

doi:10.2307/4592609

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…At the broadest level, the situation for cardiac surgery in India and the United States remained quite different. In 1961, when Dastur performed the first open-heart operation in India, surgeons at 290 hospitals in the United States performed nearly 9000 open-heart surgeries (Crocetti, 1965). Lillehei's team alone had done over 1000 open-heart operations (Lillehei and Engel, 1960).…”

Section: Replication Demonstration or Therapy?mentioning

confidence: 99%

Making heart-lung machines work in India: Imports, indigenous innovation and the challenge of replicating cardiac surgery in Bombay, 1952-1962

Jones

Sivaramakrishnan

2018

Soc Stud Sci

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In 1962, surgeons at two hospitals in Bombay used heart-lung machines to perform open-heart surgery. The devices that made this work possible had been developed in Minneapolis in 1955 and commercialized by 1957. However, restrictions on currency exchange and foreign imports made it difficult for surgeons in India to acquire this new technology. The two surgeons, Kersi Dastur and PK Sen, pursued different strategies to acquire the ideas, equipment, and tacit knowledge needed to make open-heart surgery work. While Dastur tapped Parsi networks that linked him to local manufacturing expertise, Sen took advantage of opportunities offered by the Rockefeller Foundation to access international training and medical device companies. Each experienced steep learning curves as they pursued the know-how needed to use the machines successfully in dogs and then patients. The establishment of open-heart surgery in India required the investment of substantial labor and resources. Specific local, national, and transnational interests motivated the efforts. Heart-lung machines, for instance, took on new meanings amid the nationalist politics of independent India: Even as surgeons sought imported machines, they and their allies assigned considerable value to 'indigenous' innovation. The confluence of the many interests that made Sen and Dastur's work possible facilitated the uneasy co-existence of conflicting judgments about the success or failure of this medical innovation.

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Section: Replication Demonstration or Therapy?mentioning

confidence: 99%

Making heart-lung machines work in India: Imports, indigenous innovation and the challenge of replicating cardiac surgery in Bombay, 1952-1962

Jones

Sivaramakrishnan

2018

Soc Stud Sci

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Population-based requirements for thoracic surgery

Melton

O’Fallon

1981

The Journal of Thoracic and Cardiovascular Surgery

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Some Reflections on the Coronary Bypass Operation

Glenn

1972

Circulation

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A promising new operation-coronary bypass-has been developed for the treatment of coronary heart disease. However, because of the nature of the underlying disease and the minute size of the vessels to be anastomosed, its long-range prospects are in doubt. At this point in time there is no evidence that the operation either prevents infarction or prolongs life, and great caution is urged in applying it, reserving it for those who have life-threatening coronary artery disease, are clearly recalcitrant to optimum medical management, and have apparently normal coronary vessels distal to the point of stenosis. There is an urgent need for a better definition of the indications for operation in patients with coronary artery disease based on a study of the natural history of this coindition. Prophylactic operation for patients with a compromised coronary circulation with or without angina must await long-term results of therapeutic operation.

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Cardiac Diagnostic and Surgical Facilities in the United States

Cited by 4 publications

References 11 publications

Making heart-lung machines work in India: Imports, indigenous innovation and the challenge of replicating cardiac surgery in Bombay, 1952-1962

Making heart-lung machines work in India: Imports, indigenous innovation and the challenge of replicating cardiac surgery in Bombay, 1952-1962

Population-based requirements for thoracic surgery

Some Reflections on the Coronary Bypass Operation

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