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J Thorac Cardiovasc Surg 2003;125:984
© 2003 The American Association for Thoracic Surgery

Editorials

The operation

Anthony Dobell, MD

Received for publication April 7, 2003. Accepted for publication April 7, 2003.
The first 20% of the full text of this article appears below.

It took place on May 6, 1953, in an ancient white-tiled operating room across a hallway from the men's surgical ward that then existed in Jefferson Hospital, Philadelphia. The patient was 18 years old and the preoperative diagnosis was interventricular defect?, interatrial defect?, the uncertainty arising because the heart catheterization done by a surgical resident had shown the step-up in oxygen saturation to be at the ventricular level. The assistants were Frank F. Allbritten, Bernard J. Miller, and Thomas F. Nealon, and the surgeon was John H. Gibbon, Jr. Anesthesia was induced with thiopental sodium (Pentothal), and one of the surgeons inserted an endotracheal tube before the maintenance of anesthesia was turned over to a nurse-anesthetist, there being no MD-anesthetists . . . [Full Text of this Article]




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