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February 27, 1937

Foreign Letters

JAMA. 1937;108(9):738-743. doi:10.1001/jama.1937.02780090050019

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LONDON  (From Our Regular Correspondent)Jan. 30, 1937.

The Surgical Treatment of Cardiac Ischemia  At the Royal College of Surgeons, before a large audience, Laurence F. O'Shaughnessy delivered a special lecture on his new operation of cardio-omentopexy for the treatment of cardiac ischemia. Lord Dawson, president of the Royal College of Physicians, gave an introductory address. He was the head of a small cardiovascular clinic established at Lambeth Hospital by the London County Council, at which the medical staff cooperated with Mr. O'Shaughnessy. In cases in which coronary occlusion was not immediately fatal, the problem was to secure an adequate compensatory circulation. The difficulty was not in the anastomosis but in the great vascular needs of the heart. It was known that pericardial adhesions could form an effective collateral circulation. In one case it was found at necropsy that there had been complete occlusion of each coronary artery for a

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