Please accept my most sincere congratulations on the establishment of the Henry Swan Visiting Professorship. This is a nice
recognition for the many contributions which you have made to surgical science.
I can recall the early days when most of us were scrambling around trying to operate inside the human heart. The reports which
came out of your department were thrilling. The successful use of hypothermia with circulatory arrest stands as a milestone
in open heart surgery. As you may recall, I became an early opponent of this technique.
My opposition began when I attempted to close a ventricular atrial communication through the right atrium during circulatory
arrest. The patient developed a coronary air embolism when her temperature was 80 degrees and we could never resuscitate her.
I over-reacted to this experience as you may recall and jokingly established the American Society for the Prevention of Hypothermia.
With the advent of the pump oxygenator for extracorporeal circulation and total cardiopulmonary bypass, it became evident
that the combination of that technique with hypothermia could extend the value of the pump.
You will be interested to know that today I am a firm proponent of hypothermic circulatory arrest for open repair of aortic
arch aneurysms. Sometimes it causes me to feel sheepish to know how you and I argued about hypothermia. Do you recall the
time at a symposium when Dr. Blalock asked me if I thought that hypothermia was obsolete and I made the remark that in my
opinion it was not obsolete, but it was not very fashionable. In fact, I said it was very much like the double-breasted suit.
In the entire audience there were only two men wearing doubled-breasted suits, yourself and Dr. Valdoni from Rome!
Much has happened since that time. I have always admired you for your courage and intrepidness. Your ability to take things
from the laboratory to the operating room has inspired many of us in the era of progress. I join your many friends and admirers
on this occasion.