« 紅皮症 3例 | トップページ | 日高 義樹の「現行・憲法の本」 »

2015年3月29日 (日)

ルネ・ファバローロ

 アルゼンチン出身の医師。30台後半に、一年発起して

米国に渡り、循環器・心臓医学のメッカ、ohio州

 cleveland clinicの門を叩いて、押しかけの入所者、

臨時雇いから、心臓外科のレシデントに滑り込み、

その後、心臓外科チームに属して当時の一流の

心臓医学の研究者の協力の下(Donald B. Effler,

head of cardiovascular surgery,  F. Mason Sones, Jr.,

who was in charge of the Angiography Laboratory and

William L. Proudfit, head of the Department of Cardiology)

数年に渡って心臓学の研鑽に努めています。

当時、cleveland clinicは心臓の血管造影検査では、

全米でトップの座をしめており、彼は毎日毎日、

心臓手術のあと、膨大な数の心臓血管造影の写真(The Laboratory of Sones,

father of the coronary angiography, had the most important collection

of angiograms in the United States.)の検討を続け、有名な大腿の

伏在静脈の一部分をbypassとして使うという着想を得ています。

そして1967年の5月に、その偉大な業績になる

心臓冠状動脈バイパス手術をなしとげました。

その後は帰国し、自国アルゼンチンの医療に貢献しています。

 約30年前に、この人の講演をcleveland clinicの講堂で拝聴する機会を

持ちましたが、普通の叔父さん風の印象でした。

「24/7」

以下、Wikipedia 英語版より

「Favaloro became interested in the developments on cardiovascular interventions, and developed an enthusiasm for thoracic surgery. During one visit to La Plata, he met Professor Mainetti, who pointed him in the direction of the Cleveland Clinic. Although in the beginning he had doubts about leaving his profession as a rural physician, he thought that he could make a greater contribution to the community when returning from the United States in 1962. With few resources and some rudimentary English, he decided to travel to Cleveland. He first worked as a resident and later on as a member of the surgery team, working with Donald B. Effler, head of cardiovascular surgery, F. Mason Sones, Jr., who was in charge of the Angiography Laboratory and William L. Proudfit, head of the Department of Cardiology.

In the beginning, the major part of his work revolved around valvular and congenital diseases; later on he became interested in other areas. Every day, having hardly finished working in the surgery room, Favaloro would spend hours and hours reviewing coronary angiograms and studying coronary arteries and their relation with the cardiac muscle. The Laboratory of Sones, father of the coronary angiography, had the most important collection of angiograms in the United States.

At the beginning of 1967, Favaloro began to consider the possibility of using the saphenous vein in coronary surgery. He put his ideas in practice for the first time in May of that year. The basic principle was to bypass a diseased (obstructed) segment in a coronary artery in order to deliver blood flow distally. The standardization of this technique, called bypass or transmyocardial revascularization surgery, was the fundamental work of his career, which ensured that his prestige would transcend the limits of that country, as the procedure radically changed the history of coronary disease. In 1970 he published of his best-known volumes, Surgical Treatment on Coronary Arteriosclerosis.」

« 紅皮症 3例 | トップページ | 日高 義樹の「現行・憲法の本」 »

学問・資格」カテゴリの記事