Dr. John H. Gibbon
John Gibbon, with his pioneering
experimental work at Massachusetts General
Hospital in Boston in the late 1930s, was a major contributor to development
of cardio-pulmonary bypass (CPB). One of his supporter-colleagues was a
researcher at Harvard, Mary “Maly” Hopkinson. They married and continued
working together, mostly at the University
of Pennsylvania ’s
research laboratories. By 1939, they published results of total body perfusion
experiments on a number of laboratory cats that survived by employing the early
apparatus invented by Gibbon.
In 1953, he performed the first successful operation in which the patient was totally supported
by CPB when he repaired an atrial septal defect in a young
woman using a pump-oxygenator. Unfortunately, his
subsequent four patients died of a variety of problems, and he
became discouraged with
the method.
The Mayo Clinic, which probably had
more cardiac cases than anywhere in the U.S. , asked for plans for Gibbon’s
oxygenator, which he shared with them in February 1953. The Mayo Clinic further
developed the “Mayo Gibbon-type oxygenator” and for the next several years used
this device on hundreds of patients. The mortality rate for intracardiac
surgery dropped from 50% in 1955, to 20% in 1956 and to 10% in 1957. A
new age for cardiac surgery was underway.