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After conducting somewhat more analysis I can now provide a bit more background to Andrew Logan, as promised. In 1948, Logan was appointed to establish the unit for cardiac and thoracic surgery on the Royal Infirmary of Edinburgh. It was around this time that rheumatic fever was prevalent, leading to progressive injury to heart valves, notably mitral valves. Many young and center aged patients died from unrelieved congestion of the lungs. In response to this, Logan pioneered the usage of a trans-ventricular mitral valve dilator for mitral stenosis. This technique proved very profitable and this is reflected in the case notes. The vast majority of the case notes related to mitral valve stenosis patients and the overwhelming majority seem to have survived the process.
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