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Ann Thorac Surg 1992;53:532-533
© 1992 The Society of Thoracic Surgeons

Articles

Julian's reintroduction of Milton's operation

Martin L. Dalton, MD*, Samuel R. Connally, PhD, Will C. Sealy, MD

Department of Surgery, Merver University School of Medicine, The Medical Center of Central Georgia, Macon, Georgia USA

* Address reprint requests to Dr Dalton, 777 Hemlock. St, Box 98, Macon, GA 31208 USA.

Four years after the first successful open heart operation in 1953, must cardiac surgeons were using bilateral anterior thoracotomy. This tedious, time-consuming, complication-prone, painful procedure was abandoned only after Julian and associates demonstrated the marked superiority of median sternotomy. Although median sternotomy was described by Milton in 1897, it was a seldom-used procedure at the time of Julian and associates' publication in 1957. The present-day routine use of median hernotomy for virtually all cardiac operations is a testimonial to the foresight and practicality of Julian's experience.




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