Great Institutionsthe History of the Department of Cardiovascular And

GREAT INSTITUTIONS

The History of the Department of Cardiovascular and Thoracic Surgery at Rush

L. Penﬁeld Faber, MD, Michael J. Liptay, MD, and Christopher W. Seder, MD

The Rush Department of Cardiovascular and Thoracic Surgery received certification by the American Board of Thoracic Surgery (ABTS) to train thoracic surgical residents in 1962. The outstanding clinical faculty, with nationally recognized technical expertise, was eager to provide resident education. The hallmark of the program has been clinical excellence, dedication to patient care, and outstanding results in complex cardiac, vascular, and general thoracic surgical procedures. A strong commitment to resident education has been carried to the present time. Development of the sternotomy incision, thoracic and abdominal aneurysm repair, carotid Rush University Medical Center endarterectomy, along with valve replacement, have been the hallmark of the section of cardiovascular surgery. Innovation in bronchoplastic lung resection, aggressive approach to thoracic malignancy, and segmental resection Central Message for lung cancer identify the section of general thoracic surgery. A total of 131 The Department of Cardiovascular and Thor- thoracic residents have been trained by the Rush Thoracic Surgery program, acic Surgery at Rush University Medical Center fi has a long tradition of innovation, clinical and many achieved their vascular certi cate, as well. Their training has been fi fi excellence, scienti c investigation, and educa- vigorous and, at times, dif cult. They carry the Rush thoracic surgical tion that continues today. commitment of excellence in clinical surgery and patient care throughout the country, both in practice groups and academic centers. Semin Thoracic Surg 28:687–699 I 2016 Elsevier Inc. All rights reserved. Keywords: thoracic surgery, CHEMO-BEAMO, sternotomy, segmentectomy, education, history

THE HISTORY OF RUSH UNIVERSITY MEDICAL Bevan (Chairman 1902-1943), and John B. Murphy maintained CENTER a strong surgical heritage. A merger with the University of Rush University has been responsible for 179 years of excellence Chicago developed and the Rush medical faculty were absorbed in patient care and dedicated education of medical students and into the University of Chicago in 1923. The Rush Medical specialty residents. Dr Daniel Brainard (Fig. 1A), a noted surgeon College charter was put into mothballs. However, postgraduate and graduate of Jefferson Medical College, was the founder of Rush education continued at Presbyterian Hospital, which became Medical College in 1837. The College was named Rush in affiliated with the University of Illinois in 1941 to provide commemoration of Dr Benjamin Rush of Philadelphia, one of third- and fourth-year medical student clerkships. Presbyterian the signers of the Declaration of Independence. surgeons received clinical academic appointments at the Uni- The Medical College flourished and merged with the new versity of Illinois and several were voluntary surgeons at the Presbyterian Hospital in 1884, after its facilities burned in the Illinois Research and Education Hospital. Chicago Fire. By 1890, the clinical excellence of Rush surgeons In 1959, St. Luke’s Hospital on Chicago's south side looked had established a large clinic and unsurpassed training oppor- to relocate and merged its staff with the Presbyterian Hospital tunities were provided to postgraduate residents. Surgical facility and staff. This merger combined 2 groups of imminent greats Nicholas Senn (Chairman 1891-1902), Andrew Dean physicians, providing one outstanding voluntary hospital, Presbyterian-St. Luke's. Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, Illinois RUSH CONTRIBUTIONS TO CARDIOVASCULAR AND Address reprint requests to Christopher W. Seder, MD, Rush THORACIC SURGERY University Medical Center, 1725 W Harrison St, Suite 774, Chicago, The Rush Medical College charter was reactivated in 1969 IL 60612. E-mail: [email protected] and the College opened in 1971, with 98 students at the first-

Figure 1. (A) Daniel Brainard, founder of Rush and chair of Surgery 1843-1866. (Adapted with permission from Rush Department of General Surgery.) (B) Dr Egbert Fell, first cardiac surgeon at Presbyterian Hospital. (Adapted with permission from Amika Press, Chicago, IL.) A history of surgery at Cook County Hospital. and third-year level. Affiliation with the University of Weinberg performed the first open heart procedure Illinois was terminated. A graduate college was in Chicago done with cardiopulmonary bypass for a formed and, along with the nursing college, the complex ventriculoseptal defect in 1956. Successful Rush University Medical Center matured. For 179 open heart procedures were done both at Presbyterian years, clinical excellence has prevailed at Rush. and Cook County Hospitals. Dr Egbert Fell (Fig. 1B) initiated both adult and Dr Weinberg presented the first 28 patients with pediatric heart surgery at Presbyterian and Cook successful open heart procedures in Chicago to the County Hospitals. Dr Fell graduated from the Uni- Chicago Surgical Society in 1958. Dr Weinberg was versity of Chicago Medical School in 1931 and an outstanding and diligent pediatric and adult completed his surgical residency at Presbyterian cardiac surgeon. His clinical results were exemplary Hospital. He was interested in pediatric surgery and were a direct result of his dedication to care of and joined the practice of Dr Edwin Miller at the patient. He founded an approved thoracic Presbyterian and Cook County Hospitals. Dr Karl surgical residency at Cook County in 1965, with 1 Meyer, County Chairman, designated Dr Fell to start trainee per year, while maintaining his active pedia- a heart surgery program. Dr Fell performed heart tric and adult heart program at Presbyterian. procedures in the animal laboratory at Presbyterian Dr David Monson (Thoracic, 1971-1973) joined in preparation. In 1948, Dr Fell resected a coarcta- Dr Weinberg in practice at Presbyterian-St. Luke's tion of the aorta at County Hospital and followed Hospital and was also a staff physician at Cook with 4 more successful procedures. Numerous County Hospital. He was a technically gifted surgeon cardiac procedures were done at both Presbyterian and was adept at pediatric and adult cardiac surgery. and Cook County Hospitals, including closure of Together, they maintained an active pediatric heart patent ductus arteriosus, coarctation repair, Blalock surgery program at the Rush Children's Hospital. shunts, Potts shunts, aneurysm repair, closed mitral Drs Fell and Weinberg were directly involved with surgery, and open heart surgery under hypothermia the Chicago Heart Association to establish the Central and limited cardiac arrest. Artery Bank of Lyophilized Human Vascular Segments Dr Milton Weinberg, Jr joined Dr Fell as a cardiac for vascular replacement in humans.1 The largest user fellow in 1955 (Fig. 2A). Dr Weinberg graduated from of these grafts was Dr Ormand Julian. The later Duke Medical School in 1946 and completed his introduction of grafts made the Bank obsolete. surgical training at the Medical College of Charleston General thoracic surgery at Presbyterian Hospital in 1955, with 2 years in military service. He spent 2 in the 1940s was carried out by Dr John Dorsey, a years as a cardiac fellow with Dr Fell, became board 1930 graduate of Rush who trained at the Mayo certified, and joined the staffs of Presbyterian and Clinic. Procedures consisted mostly of empyema Cook County Hospitals in 1957. Dr Fell and Dr drainage and chest wall procedures, with only a

688 Seminars in Thoracic and Cardiovascular Surgery Volume 28, Number 3 Download English Version: https://daneshyari.com/en/article/5621624

Download Persian Version:

https://daneshyari.com/article/5621624

Daneshyari.com