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July 10, 1948


JAMA. 1948;137(11):952-953. doi:10.1001/jama.1948.02890450032011

The compositors returned to work on Monday, June 28. This issue of The Journal has been prepared in part by the use of Vari-Typer machines.

SURGICAL TREATMENT OF SEVERE ANGINA PECTORIS  Surgical treatment of angina pectoris, say White and Bland,1 should be reserved for patients who, after adequate observation, cannot be controlled effectively by medical means. In such patients surgical intervention may prolong life by the relief of pain during a particularly dangerous period of coronary insufficiency until collateral circulation of the myocardium improves. Such patients must choose between continued dependence on drugs with limitation of activity and the more dangerous method of relieving pain by surgical intervention with possibly more rewarding effects. The surgical procedures proposed for amelioration of the anginal pain are (1) total thyroidectomy, proposed by Blumgart, levine and Berlin; (2) grafting of an intercostal muscle to the myocardium as advocated by Beck; (3) O'Shaughnessy's operation