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By Hoyle F., Wickramasinghe C.

By way of the eminent British astronomer, Sir Fred Hoyle, this paintings offers a startling new concept that revolutionizes our knowing of the evolutionary approach.

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She died soon afterwards in tamponade, as the autopsy proved: ‘‘The lesions described have been produced by a long instrument of triangular shape with more or less blunted edges. This instrument entered the thoracic wall with violence, breaking a rib and completely perforating the left ventricle… Death was undoubtedly caused by a 3 The Ignored Birth of Cardiac Surgery 25 progressive and slow blood leak, sufficient to compress the heart and to suspend its functions. The finding of a voluminous blood clot occupying the pericardium is the absolute proof of it’’ [40].

Ann Surg 5:615–623 45. Peck CH (1909) The operative treatment of heart wounds. Ann Surg 50:100–134 46. Pool EH (1912) Treatment of heart wounds. Ann Surg 55:485–512 47. Sauerbruch F (1907) Uber die Verwendbarkeit der pneumatischen Kammer fur die Herzschirurgie. Central Chir 34:44. As quoted by Asensio JA, Petrone P, Pereira B et al (2009) Penetrating cardiac injuries: A historic perspective and fascinating trip through time. J Am Coll Surg 3:462–473 48. Alexi-Meskishvili V, Konstantinov IE, Yustin Y (2000) Djanelidze and the first successful repair of an injured ascending aorta.

As quoted by Beck CS (1926) Wounds of the heart. Arch Surg 13:205–227 12. Riolan J (1649) Encheiridium Anatomicum et Pathologicum Lugduni Batavorum, Ex Officina Adriani Wyngaerden. As quoted by Hurt Raymond (1996) History of Cardiothoracic Surgery from Early Times, The Parthenon Publishing Group, Casterton Hall, Carnforth Lancs, LA6 2LA, UK, p 411 13. Senac JB (1749) Traité de la Structure du Coeur, de son Action et de ses Maladies. As quoted by Hurt Raymond (1996) History of cardiothoracic surgery from early times.

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