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Show AP Outlook: Unemployment inching upwards; MX has a tough inside time in House committee; five-cegasoline tax approved by House Ways and Means Committee, tax will finance highway repairs page 2 FRIDAY, DECEMBER 3, 1982 IU1 nt Eight students attend parking forum. Parking situation is likely to get worse before it gets better and a high-riterrace is not feasible, according to Parking Canine's cuspids cut University employee; crowd conflict follows. The relation between grass and the mating habits of meadow mice and lemmings will continue to be studied by Biology Department page 7 ASUU-sponsor- ed se Services page 5 THE UNIVERSITY OF UTAH VOL. 92 NO. 54 mt DinrtpHainit an appair y by Steve Green Chronicle staff Clark's lung had swollen because of his previous congestive heart failure but the To the tune of "Bolero," University Medical Center surgeons successfully implanted the Jarvik-- 7 61 ear-old artificial heart in the chest of a man early Thursday in a 7Vz hour experimental procedure led by Dr. William DeVries, the only doctor authorized by the Food and Drug Administration to perform the operation. The initial announcement of the operation's success was made by Dr. Chase Peterson, vice president : for Health Sciences', at 5 a.m. ;; Thursday. pv "I'm pleased to say it's been SO minutes since he's been off the heart-lun- g machine; namely, tor the last 50 minutes the patient has been sustained by his own heart," he said. The recipient of the artificial heart, Barney Clark of Seattle, Wash., was suffering from cardiomyopathy, an inoperable deterioration of -y- J-'r'- " the heart muscle. His surgery, originally scheduled for 8 a.m. Thursday, was moved up to late Wednesday night when Clark's condition began deteriorating rapidly. The decision to proceed with the operation ahead of schedule, according to the Medical Center's Director of Development and Community Relations John Dwan, was made about 8 p.m. Wednesday. By 10:15 p.m. the surgical team and the operating room were ready and an anesthesiologist began preparing Clark for an operation doctors said was his last hope for life. At 1 1:27 p.m. DeVries made the first incision into Clark's chest, from the sternum to the abdomen. Then the waiting began. Hordes of reporters, both local and national, were crammed into an improvised media center in a Medical Center cafeteria, fighting for space with photographers and television and radio crews. The lower ventricles of Clark's natural heart were removed at 12:07 a.m. Thursday. At 1:55 a.m. the left ventricle of the Jarvik-- 7 heart was put into place. Twelve minutes later the right ventricle was connected. Dwan briefed reporters at 2:23 a.m. and gave the first indication of the problems the surgical team faced. He said the team was having difficulty suturing some small leaks in the heart's connections because of the softness of the patient's flesh, caused by cortisone treatments prior to surgery. But that, he said, would only delay the operation and did hot pose any real threat to its success. Then came a long silence from Dwan and his staff. Spokesman Mark Sands said the team was encountering minor difficulties that would delay the completion of the surgery. Still, no need to worry, he said. But the press was becoming nervous. The operation, originally scheduled for three to four hours, had dragged on for more than five, with no word from Dwan for two hours. flllfllP Finally, at 5 situation was quickly stabilized, Peterson said. Second, he said, the bleeding of the delicate tissues caused by the cortisone treatment was under control. The third problem, was getting the artifical heart's outflow track functioning properly, according to Peterson. "After the left heart was put in we weren't satisfied with the output. We knew from our animal experiments the problem was either with the position of the heart or something mechanically wrong with it," Dr. DeVries said. DeVries said the heart was removed and repositioned twice, and although the outflow improved each time the surgical team was still not happy with it. "The last time we decided to use the backup heart we had on the shelf. "It worked beautifully," DeVries said. Peterson again addressed the reporters at 6:30 a.m. "I just talked by telephone with Dr. DeVries and I am happy to report the patient now has a blood pressure of an 1 male"," he said. Peterson added that mechanically, the procedure was entirely successful at that point. At 6:35 a.m. Dr. Robert Jarvik, the designer of the heart and president of Kolff Medical Inc., which donated the heart, entered the media area for a press conference. Jarvik assisted the surgical team with the positioning of the heart and the evaluation of its mechanics. When asked his feelings following seven hours of surgery, he replied simply, "Tired." "Mechanically the heart is working very well," Jarvik said. He said the heart was pumping blood through Clark's body at the rate of five to seven liters a minute, about five times the volume of his natural heart. The surgical team was using caution to avoid "overpumping." "I'm very happy the patient is doing as well as he is doing," Jarvik said. i " IL- - 1 V ft ji a.m., Peterson ended the speculation. Yes, there were problems, he said. But they had been overcome, and for nearly an hour Clark's new plastic and aluminum Jarvik-- 7 artificial heart had been sustaining his life. "Pressures coming out of the artificial heart are now entirely normal and satisfactory," he said. DeVries and his surgical team had encountered three main problems, Peterson said. Robert Jarvik Photo by NelsonU of Utah retired dentist from Seattle, Wash., is examined by Dr. Barney Clark, a William DeVries prior to Thursday's historic surgery which replaced Clark's deteriorating natural heart with a plastic and aluminum Jarvik-- 7 artificial heart. Clark received the heart In a operation which began about 1 1:30 p.m. Wednesday and xwas completed early Thursday. The operation was originally scheduled to begin at 8 a.m. Thursday, but was moved up because of irregular rhythms in Clark's heartbeat. See related stories on pages 3 and 4. six-ho- ur Non-Prof- it Org. U.S. Postage Paid Permit No. 1 529 Salt Lake City. UT |