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The Annals of Thoracic Surgery, Vol 53, 532-533, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Julian's reintroduction of Milton's operation

ML Dalton, SR Connally and WC Sealy
Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon.

Four years after the first successful open heart operation in 1953, most 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 sternotomy for virtually all cardiac operations is a testimonial to the foresight and practicality of Julian's experience.

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