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December 4, 1967

Transfusion into the Left Ventricle

Author Affiliations

San Luis Obispo, Calif.

JAMA. 1967;202(10):990. doi:10.1001/jama.1967.03130230116032

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To the Editor:—  An occasion may arise when open cardiac massage is necessary and possible, yet other trained personnel are not immediately available to start a transfusion or to cutdown on a suitable vessel. Rapid replacement of circulatory volume may be a sine qua non to maintain life.Such an event occurred in the emergency room when a 13-year-old boy was admitted with a stab wound of the left side of the chest. While a cutdown was being started, the boy's heart stopped. Work on the cutdown was stopped, and the chest was opened on the left side just below the nipple. The chest was full of blood and there was a hole in the pericardium. After opening the pericardium, the heart started to beat after one or two massages. It was possible to suture the three-quarter inch hole in the ventricular apex on the left side of the heart