DeBAKEy CARDIOvASCuLAR JOuRNAL - Methodist Hospital

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was — and is still — unmatched with any surgeon I’ve ever seen. It was following my rotation at King Faisal <strong>Hospital</strong> in Saudi Arabia, where Baylor was running their cardiovascular program, that I received a phone call on June 20, 1983. I was in a Safeway, shopping with my son and wife. His now familiar southern voice boomed over the line: “Dr. Safi, do you want to join me this summer as an associate?” I replied, “Well, it’s better than being unemployed!” He laughed, and I joined him in July 1983. The following year, my colleague Joseph S. Coselli joined us, and we worked together for the rest of Dr. Crawford’s clinical career. Thus began a period of great innovation in the repair of aneurysms. Dr. Crawford shaped my surgical and academic thinking, and I am where I am now because of his impact on me then. It was a period marked by extensive writing and one that shaped what the vascular/aortic community in this country (as well as the world) thought with regard to aneurysm repair. Dr. Crawford became an international figure and was miles ahead of everybody. Despite this, he shunned publicity and was averse to giving interviews to the media. Part of this was his shy personality, and part was his constant remembrance of the humble roots from which he came. In fact, his roots spurred in him a desire to help others that was uncommon in its sincerity. He used to take residents under his wing who had been dismissed for one reason or another. More than that, his support of his associates was steadfast and without question. His treatment of everyone as equals was unparalleled. When John Crawford and Mathew uribe joined our practice in 1983, he demanded the same high standard of them that he would of anyone else. It was also during this time that I became friends with his late wife and his family — John, Bruce, and Clay. Dr. Crawford was my mentor and friend. One of my fondest memories was when we would operate into the wee hours of the night. We used to sit in the coffee room attached to the Fondren-Brown operating room and discuss family, friends, politics and culture. One of these nights he told me that when he was young, he used his father’s razor to make a circular cut around a mattress. I retorted, “And you never stopped.” yet what impressed me more during these hours of discussion was that he was open minded and accepting of new ideas as long as they were tested scientifically. That was the root of Dr. Crawford’s success; it always led him to ask the questions that propelled progress. I can still hear him telling me with his familiar southern twang, “I’m ready for good results.” As I look back to the last 18 years since his departure from this life, his legacy still lives on. The current challenges we face in aortic surgery, whether using endovascular or open technique, are all built on the successful foundations that Dr. Crawford laid during his career. Apart from Dr. DeBakey, no one else besides Dr. Crawford has had a bigger impact on my career. I tried on many occasions to thank him, but he would always shun the compliment and say, “All I did was crack the door open; the rest is you.” I remember when it was said that the replacement of the entire aorta from the valve to the iliac bifurcation was impossible. That was before Dr. Crawford proved them wrong. He was the key that opened the door to make aortic surgery a common practice for all of us. Truly, he was the giant on whose shoulders we still stand looking out afar as we continue to fulfill his legacy. Acknowledgement to Joseph Safi for editorial assistance. 54 vII (1) 2011 | MDCvJ
MuseuM of tMH MultiModality iMaging Center Diastolic Mitral Valve Regurgitation. A 41-year-old man was referred to <strong>Methodist</strong> with suspected bacterial endocarditis. 2-D echocardiography was performed and a large aortic valve vegetation was identified along with severe aortic regurgitation. Panel A depicts a mildly enlarged left ventricle (5.9 cm diameter) with open mitral leaflets near end-diastole. Color Doppler demonstrates simultaneous aortic regurgitation (AR) and mitral regurgitation (MR). Panel B depicts a continuous wave Doppler signal across the mitral valve. Regurgitant mitral flow begins 80ms before the onset of systole. In general, diastolic MR is diagnostic of highly elevated left ventricular end-diastolic pressure. For this patient, the presence of diastolic MR confirmed that the aortic regurgitation was severe and likely acute. In this era of increasingly sophisticated imaging technologies, it is important to continue to recognize these classic Doppler findings. Image courtesy of Stephen H. Little, M.D. Cardiac Computed Tomography Angiogram. Cardiac computed tomography angiogram (CTA) of a 48-yearold male with atypical chest pain. A small muscular ventricular septal defect (arrow) with left to right shunting as shown by the passage of iodinated contrast from left ventricle (LV) to right ventricle (RV). Image courtesy of Su Min Chang, M.D. MDCvJ | vII (1) 2011 55
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Volume 7, Number 1 • Jan. - Mar.
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W.L. Winters Jr., M.D. EDITOR’S N
Page 5 and 6: Every generation has its heroes. Dr
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
Page 13 and 14: Figure 30. Myxoma filling the left
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Page 37 and 38: M.E. Bertrand, M.D. Introduction WH
Page 39 and 40: Vascular Access Complications A num
Page 41 and 42: 6. Segal AZ, Abernethy WB, Palacios
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Page 45 and 46: Figure 6. Surgical view of dual Hea
Page 47 and 48: A.B. Lumsden, M.D. Introduction PuM
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Page 51 and 52: N. Kleiman, M.D. M.J. Reardon Intro
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Page 55: H.J. Safi, M.D. IN TRIBuTE: ERNEST
Page 59 and 60: Introduction CT Coronary Angiograph
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Page 63 and 64: MetHodist de Bakey Heart & VasCular
Page 65 and 66: My yEARS WITH MICHAEL E. DeBAKEy Lo
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DeBAKEy CARDIOvASCuLAR JOuRNAL - Methodist Hospital

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