Surgery: Two Patients

Two men with transplanted hearts followed opposite courses last week. For Philip Blaiberg, 58, in Cape Town, the course was smooth. But at Stanford Medical Center, Mike Kasperak, 54, went from crisis to fatal crisis.

First, Surgeon Norman E. Shum-way's team concluded that Kasperak's life was threatened by liver and pile-duct trouble, for which they must operate. They found that Kasperak's main bile duct had been blocked by internal bleeding. They removed the gall bladder and inserted a tube to keep the duct open, and thus keep bile flowing to the small bowel, and to permit drainage if necessary.

After a...

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