(Circulation. 1998;98:466-478.)
© 1998 American Heart Association, Inc.
Landmarks in the Development of Coronary Artery Bypass Surgery
René G. Favaloro, MD
From the Institute of Cardiology and Cardiovascular Surgery of the
Favaloro Foundation, Buenos Aires, Argentina.
Key Words: bypass • coronary disease • myocardial infarction • ischemia • catheterization
For you to find the truth, in the
first place, you have to believe in the truth with all your heart
and with all your soul, and believing in the truth with all your heart
and with all your soul means saying what you think is true wherever and
whenever, but, most especially, at the least opportune moment.
(...) Whenever wisdom is found in a scientific work, there
cannot be the slightest doubt it is passion's doing, a painful passion
much deeper and dearer than simple curiosity.
Miguel de Unamuno
Since my
training as a resident in general surgery at the University Hospital in
La Plata, I have been attracted by thoracic surgery. As soon as I
graduated, I started traveling every Wednesday 44 miles to the Rawson
Hospital in Buenos Aires, where the Finochietto brothers had organized
a postgraduate program, mainly to learn lung and esophageal
resections.
As a resident, I lived in the hospital, where I witnessed the early
attempts in thoracic surgery. In 1949, Professor Clarence Crafoord was
invited by the head professor, José María Mainetti, to
give lectures and operate on patients in our institution. I was
extremely lucky to participate as his second assistant. Crafoord was
indeed a master surgeon. I still remember today my happiness at being
so close to one of the most important pioneers in thoracic and
cardiovascular surgery. I was also impressed by his
anesthesiologist. With a small machine (he brought his own equipment)
and high doses of curare, the operation . . . [Full Text of this Article]
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