DeBAKEy CARDIOvASCuLAR JOuRNAL - Methodist Hospital

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We Welcome Your Questions and Comments W.L. Winters Jr., M.D. Inquiries, letters to the editor and original contributions can be directed to MDCvJ@tmhs.org. Correction Notice Please note the following corrections for Volume 6, Number 4: On page 59, the title and institutional affiliation of William L. Winters Jr., M.D. was incorrect. It states “Professor of Medicine and Executive Dean, Cleveland Clinic Lerner College of Medicine of Case, Western Reserve University, George and Linda Kaufman Chair Chairman, Endocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, Ohio,” which are the credential for James B. Young, M.D. It should have simply read: Methodist DeBakey Heart & Vascular Center, Houston, Texas. The statements and opinions expressed in the articles and editorials included in the Methodist DeBakey Cardiovascular Journal are those of their authors and are not necessarily those of the Methodist DeBakey Heart & Vascular Center, The Methodist Hospital System or affiliated institutions, unless this is clearly specified. Methodist DeBakey Cardiovascular Journal Volume 7, Number 1, 2011 ISSN 1947-6094 debakeyheartcenter.com/journal Editor-in-Chief William L. Winters Jr., M.D. Managing Editor Sheshe Giddens, B.A. Contributing Editor: Poet’s Pen Michael W. Lieberman, M.D., Ph.D. Editorial Board Michel Bertrand, M.D. Lois DeBakey, Ph.D. Selma DeBakey, B.A. Kim A. Eagle, M.D. Robert A. Guyton, M.D. Gerald Lawrie, M.D. Alan B. Lumsden, M.D. Joseph Naples, M.D. Craig Pratt, M.D. Miguel Quiñones, M.D. Albert Raizner, M.D. Michael J. Reardon, M.D. Frank J. Veith, M.D. James B. Young, M.D. Methodist DeBakey Cardiovascular Journal (MDCVJ) provides an update from Methodist DeBakey Heart & Vascular Center specialists about leading-edge research, diagnosis and treatments, as well as occasional articles or commentary by others. U.S.News & World Report ranks the Methodist DeBakey Heart & Vascular Center’s cardiology, cardiothoracic and vascular surgery programs among the best in the nation. MDCVJ is written for physicians and should be relied upon for medical education purposes only. It does not provide a complete overview of the topics covered and should not replace the independent judgment of a physician about the appropriateness or risks of a procedure or treatment for a given patient. © 2011 The Methodist Hospital Houston, Texas Methodist DeBakey Heart & Vascular Center 6565 Fannin Street Houston, Texas 77030 Telephone: 713-DEBAKEY (713-332-2539) debakeyheartcenter.com
W.L. Winters Jr., M.D. EDITOR’S NOTE editorial William L. Winters Jr., M.D. Methodist DeBakey Heart & Vascular Center, Houston, Texas In this issue, we are privileged to publish the entire cardiovascular surgical experience of Dr. Jimmy F. Howell between the years of 1964 and 2004. He was but one of a remarkable cadre of cardiovascular surgeons trained by Dr. Michael E. DeBakey during that period and who worked at The Methodist Hospital in the academic cardiovascular surgical program at Baylor College of Medicine (BCM). The next article by Dr. Henly describes the parallel development — the first of its kind at The Methodist Hospital and in Houston — of a private practice cardiovascular surgical team of surgeons all trained by the same Michael E. DeBakey, M.D. Simultaneously, the private practice cardiology community was enlarging faster than the academic cardiology community because of the existence of few and small local cardiology training programs until well into the 1970s. Thus was laid the groundwork for a strong private practice medical/surgical cardiovascular network working and competing in the same close clinical environment with the academic cardiovascular programs of BCM at Methodist. As one of our early colleagues commented, “That environment led to a natural grist between the private practice groups and the academic Baylor group.” On the one hand, there was the perceived view by some of a more personal approach in patient care provided in the private practice scheme compared to the academic group. yet in the setting of high tech demands and complex team requirements, Michael E. DeBakey placed no barrier to the development of a competing cardiovascular surgical team. They were, after all, his own trainees providing the competition. And let no one doubt that if they had not met the standards set by Dr. DeBakey, they would not have continued to practice and operate at The Methodist Hospital. So, as the bar stood high for cardiovascular surgeons, so it did for cardiologists as cardiology training programs at BCM, Methodist, and the Texas Heart Institute began to expand after the mid-1970s. As academic surgeons and academic cardiologists absorbed some of each other’s attributes, private practice cardiologists and surgeons increasingly became contributors to the academic programs by participating in the teaching and research opportunities. The side-byside growth at The Methodist Hospital of both types of practices, tolerated by Dr. DeBakey, encouraged by The Methodist Hospital, and to a lesser degree, by Baylor College of Medicine, was unique in those early years of cardiac surgery. MDCvJ | vII (1) 2011 1
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Page 7 and 8: OTHER CHEST 8.96% Figure 5. Surgica
Page 9 and 10: Baxter Edwards Beall Bjork Shiley C
Page 11 and 12: mitral valve operations. In most ca
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H.J. Safi, M.D. IN TRIBuTE: ERNEST
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To the Editor: After reading Dr. Be
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6565 Fannin Street Houston, Texas 7
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