by Syed Tasnim Raza
Denton Arthur Cooley, founder and president and at the time of his death president-emeritus of the Texas Heart Institute (THI), died on Friday November 18, 2016. He had celebrated his 96th birthday only three months earlier. Texas Heart Institute, founded in 1962, became a premier heart surgery center in the world, where Cooley is credited with performing 100,000 heart operations over 45 years. There were many highly skilled surgeons working at THI, who opened and closed the patients' chests and Cooley would just come in to do the main part of the operation. At his peak, he could complete 30 to 40 operations in a day!
Perhaps Cooley was the Henry Ford of heart surgery. While heart surgery was developed by many surgeons until it matured into the modern specialty as we know it in 1950's and 1960's, under the pioneering work of C. Walton Lillehei and John Kirklin both of Minnesota, it was Cooley who turned it into an assembly line operation at the Texas Heart Institute in the 1970s.
Heart surgery developed in fits and spurts, beginning with a simple suture of a stab wound of the heart by Ludwig Rehn of Frankfurt, Germany in 1896. One of the big steps, particularly in surgery for congenital heart disease, came in 1944 at the Johns Hopkins Hospital in Baltimore, where Helen Taussig, pioneer pediatric cardiologist, proposed and Alfred Blalock, the famed chairman of surgery there, performed the first Blalock-Taussig shunt (also known as the Blue-baby operation) as treatment for cyanotic infants born with Tetralogy of Fallot, until they could grow up and a more definitive corrective operation could be performed. Denton Cooley was present for the first history-making Blue-baby operation on November 29, 1944.