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October 1961


Arch Intern Med. 1961;108(4):652-653. doi:10.1001/archinte.1961.03620100144030

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This short, easily read book presents the case for and one man's experience with the treatment of myocardial ischemia by the production of a chemical granulomatous pericardial and myocardial inflammation. This is accomplished by inserting talc into the pericardium. In addition to this, the author fixes the mediastinal pleura to the pericardium and allows the pectoral muscle to become fixed to the pericardium by severing the internal mammary artery and completely removing the costrochondral cartilage to the fifth rib. Thus, the term cardiopericardiomyopexy refers to a surgical procedure by which the pectoral muscle is fixed to the pericardium and the pericardium is fixed to the heart muscle. As support for the effectiveness of this operation, a sound pathological-physiological concept of coronary insufficiency is presented, extensive animal experimental studies are mentioned, the work of others is referred to, clinical experience cited, and histological proof of the inflammation shown by photomicrographs. The

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