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The watershed moment for PDA surgery occurred on August 26, 1938, at Boston Children’s Hospital. Dr. Robert E. Gross successfully ligated a PDA in a 7-year-old girl. This event is widely considered the dawn of modern cardiac surgery. Prior to this, the "doctrina" (teaching) was one of observation; after Gross, the doctrine became one of decisive mechanical intervention. doctrina perpetua surgery pdf

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Includes visual aids such as charts, diagrams, and photographs to enhance understanding. Robert E