January 1955


Author Affiliations

Durham, N. C.
From the Departments of Surgery and Pathology, Duke University School of Medicine.; Research Fellow of the American Heart Association (Dr. D'Angelo).

AMA Arch Surg. 1955;70(1):39-44. doi:10.1001/archsurg.1955.01270070041008

DEBAKEY and Simeone,1 Hufnagel,2 Schloss and Shumacker,3 and others have reviewed the development of techniques for restoring continuity of severed blood vessels by direct anastomosis and methods for bridging of arterial defects with the use of transplants of veins and arteries or tubes of glass, metal, or plastic. Transplantation of veins was recommended by Blakemore, Lord and Stefko, in 1942,4 as an emergency method for bridging defects in severed primary arteries. This technique has been helpful for certain emergency problems. Vein grafts as tried experimentally for defects of the aorta by Shumacker, Schloss, Freeman, Wayson, and Stahl,5 Nabatoff, Touroff, and Gross,6 Sako and Varco,7 Johnson, Kirby, and Hardy,8 Schmitz and co-workers,9 and others have usually dilated. Efforts to support vein grafts by Sako and Varco,7 using pericardium, by Kanar and associates,10 using dicetyl phosphate, and by others have not

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