Medicine: Fixing a Leaky Valve

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Like a Watch. Dr. Hufnagel and his colleagues did not intend to publish the story of the operation until they had done it four or five times. It leaked out, anyway. They still cannot tell whether the plastic valve can be used in other types of heart disease. All they will say now is that they expect it to be a big help in many cases of damage to the aorta caused by rheumatic fever. (The exceptions: the very young, the feeble and the aged.) There are thousands of such cases in the U.S. each year.

The only patient now wearing an artificial aortic valve ticks like a watch to the stethoscopic ear. Like nature's valve, the plastic job will work equally well in any position. "Patients will be able to stand on their heads, if they like," says Dr. Hufnagel.

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