The Burlington Free Press from Burlington, Vermont • Page 1

Site iurltotati 1m 1 Greater Burlington Area lunny, with Malarial ttmptrolurtt Frl-iy ttlghMt In mid Krt. Fair and ennltr nljrrt wlttt th lwil tmorur nwr 30. Saturday, fair, with Ineraailno furnonn daudlntu nd warnnar, hlgfcttt In tha Iffwtr Claisified S3 Obituarist IS Comics 14 Sports 21 Editorials 12 Stocks 8 Landers IS (Vomon's II 139th Ytar Strvlng Vtrmon 32 Pagts, Only 10t No. 96 MIDAY, APRIL 22, 16 Medical Breakthrough Artificial Heart Implanted in Man Divoll Resigns Superior Bench; Larrow in Line? Si ml -K ii "tjs in -TJ I 'Vf I 'III lfii OVA i Ji fy it I HrX vw Ijf riim MONTPELIER Gov. Hoff announced here Thursday he had accepted the resignation of Chief Superior Judge Natt L.

Divoll 52, of Rockingham effective May 1, Former Burlington City Atty. Robert W. Larrow, 50, chairman of the Liquor Control Board, is expected to be appointed a superior judge by Hoff this Friday to fill the vacancy created by Divoll's resignation. Divoll, a superior judge since 1955 and chief superior judge since December 1963, gave no reason for his resignation in his letter to Hoff and he could not be reached for comment. The governor had no comment on the reason for Divoll's resignation.

Divoll was secretary of the Vermont Senate and Judge of the Bellows Falls Municipal Court when he was elected to the superior bench in 1955. He had previously been an assistant clerk of the House and state's attorney for Windham County. If he had chosen to remain in the post, he would not have had to retire until his 70th birthday, and he also would probably have moved up to the Vermont Supreme Court. Traditionally in Vermont, as openings occur on the five-member Supreme Court, superior judges move up in order of rank. Divoll is the ranking superior judge.

Divoll, however, was passed over for an appointment to the Supreme Court in 1964 after former Chief Superior Harold C. Sylvester resigned from the high court to return to the superior bench. At that time, Superior Judge F. Ray Keyser with less seniority than Divoll, was appointed to the Supreme Court. If tradition holds this time, Superior Judge Rudolph J.

Daley of Newport will be appointed chief superior judge and the four other judges will move up they were experienced in heart surgery. "Any major cardiovascular surgery center In the world could carry out such an operation," he said. 60 Ter Cent of Work He said the device, doing about 60 per cent of the work of the left ventricle the one that does most of the pumping for the heart was being done by the plastic machine. He said tho device might remain in the patient a week or longer, DeRudder will not be able to travel about as a normal man with the implanted device. An exterior air pressure mechanism beside his hospital bed will activate the artificial device sewed inside his chest.

But it is the expressed dream of Dr. DeBakey that persons will be walking the streets, holding down jobs and' going fishing with fully plastic hearts operated by a power pack perhaps sewed inside the skin. 'Ventricle Bypass' Doctors connected with the project termed it an implanted in some references, At other times, the official version was that the surgeons "implanted a mechanical left ventricle bypass." This description further said, "A pump was installed that substitutes for the left ventricle, a chamber that does most of the heart's work." The plastic heart mechanism, activated by air pressure from another mechanism outside the body, will do 60 per cent of the pumping and the natural heart the remainder. This easing of the strain should allow the damaged ventricle to heal itself. First Major Goal Added an official statement, "With successful Implantation, the first major goal of tho project has been achieved.

Surgeons now have a device which offers temporary but sustained relief In order to give a damaged heart time to heal. Future goals of the project (on which $1.5 million has been spent) include permanent assistance for or replacement of ventricle chambers and total replacement of the entire heart." Dr. DeBakey said earlier ha would not implant a heart de- vice unless the patient's condi-tion required it. Had Rheumatic Heart Dr. John Lancaster, liaison man for the newsmen, said De.

Rudder had a rheumatic heart disease after-effect. This ailment often seriously affects the heart. Dr. Lancaster said DeRudder obviously had rheumatic fever at one time although it is possible he did not know he had tht disease. He said that there was a defective valvo between the two left chambers of the heart and that tho artificial device will relieve the work-load and permit this valve, the mitral, to heal.

The team of scientists and doctors who developed the device believe it can help from 75 to 90 per cent of all heart attack victims whose hearts could sustain them long enough for an implant. Dr. Michael DeBakey (left) assisted by Dr. Domingo Liotta, inserts plastic heart into chest of Marcel DeRudder during open heart surgery at Methodist Hospital, Houston, Thursday. (UPI Telephoto) UVM Doctor Pioneered Heart Bypass plication," said Dr.

Kusserow. He said he has worked In Burlington in conjunction with Dr. Jamrs Clapp, a member of the department of obstetrics and gynecology at UVM. "We were able to perfect this (concept) to the point that we could carry out partial left heart bypass in a conscious ambulatory animal for over two days." lie said the Houston group about 19G1 continued following up his findings and since then, he and Dr. Clapp have been primarily concerned with the effects of long -term pumping of the blood itself.

HOUSTON, Tex. (AP) Sur-geoni boldly placed a new artificial heart inside a man' chest Thursday to rescue his own damaged heart and hoped the next dramatic hour may prove a breakthrough to save hundreda of thousands of lives. The plastic heart the size of a grapefruit is putting the 65-year-old man'i heart on partial holiday. It's the first use of a highly promising new design for artificial hearts. Other versions of similar sub.

illtute hearts earlier have preserved life temporarily in one man for four days, in another for 24 hours. Dr. Michael E. DeBakey, who headed the Baylor University team of surgeons, said the device was working but that the next 12 to 24 hours would he critical for the patient, Marcel L. DeRudder.

A medical bulletin at mideve-ning said DeRudder "continues to progress satisfactory." It added that Dr. DeBakey reported the patient was "maintaining satisfactory blood pressure." Except for the operation, the surgeon said, DeRudder would have died from progressive heart failure. Dr. DeBakey told newsmen the operation "went off much as I had hoped and planned." The artificial heart was installed on the left side of De-Rudder's own organ. Six-Hour Surgery The operation took six hours.

At one point DeRudder's blood pressure dropped dangerously, but it was restored by use of a heart-lung machine and massage of his heart through the Incision in his torso. DeRudder, from Westville, 111., had a long history of heart troubls and had suffered a series of heart attacks since checking In April 14 at Methodist Hos-pital, where the Implant operation was performed. certainly would not have survived without surgery," Dr. DeRakey told a subsequent news conference, "and his chances of survival with sur gery were low." Relieves Heart Load Dr. DeBakey added: "With engineering developments the devlco eventually could do the work of the left ventricle on a permanent basis.

This is the first time such a device has been used In order to carry the patient through surgery and the postoperative period and relieve the load on the heart during that critical period and give the heart a chance to repair itself." Dr. DeBakey became known to laymen in 1964 when he repaired an enlarged artery in the Dukt of Windsor's abdomen. Tht surgeon, 57, performs as many as eight heart operations dally. Two Other Attempts Ho performed an operation similar to DeRudder's in 1963, using a silicone rubber device Instead of the plastic type used Thursday. That patient, who was 43, lived only four days because of a hopeless condition of the brain, kidneys, liver and lungs.

On Feb. 4, at Maimonidcs Hospital in Brooklyn, N.Y., Dr. Adrian Kantrowitz installed an air-operated artificial heart in a 34-year-old man who died 24 hours later of complications not connected with the heart surgery. DeRudder has been plagued by a heart condition for 25 years. He is a former coal miner.

"I just hope he gets well. He's been suffering all winter," said his wife, Edna, 60, a qashier in a grocery. She did not come to Houston. She said she did not know the operation was held Thursday until newsmen called her. They have been married 43 years.

They have no children. DeBakey said other surgeons could conduct the operation if AREA WEATHER Yesterday's Data Yaittrdav'l Outlook: Vorlablt cloudl-ntu. Actual Data: Highlit daytlmi Itm-roturi, at 3: JO pjfn.l lowatt tor 54 hourt indlnj qt II pm, 44 ot I a.m. Dagraa day unlti Wtdnndoy 17; accumulation July 1. 7,406.

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rord low in 194'. Normal hiah dni low .13. Ttiert hn, hn lomi monmrflhll prorlpltnilnn on April In 47 par eant thi yanra. iirca 190. lie emphasized that while he was engaged In the "pioneer-ing" aspect of the artificial heart, the pump used in the Houston operation was a special design developed by Dr.

Michael E. DeBakey, who headed the team of surgeons which performed the operation. "I saw the group about a week ago in Atlantic City, N.J., and they indicated then things had progressed quite favorably with the experimental animals. "They were very enthusiastic," he said. Dr.

Kusserow came to Burlington in 1959, shortly after which he was awarded a $26,338 grant by the National Institute of Health to support his research. He published the first report of his findings in 1959 in the medical publication Transactions of the American Society for Artificial Internal Organs. The Houston operation came only a week after Dr. Kusserow completed his first year as national president of that organization. A graduate of Union College, Dr.

Kusserow received i M.D. degree in 1953 from the Yale University Medical School where he interned and served as a research fellow and a trainee of the National Heart Institute. The technique of left heart bypass apparently used successfully for the first time in a hu-m a Thursday In Houston, was pioneered in Burlington by a University of Vermont faculty member. Dr. Bert K.

Kussrrow, a member of the department of pathology at the UVM College of Medicine, introduced the concept of connecting a pump to the vascular system with the idea of heart substitution in 1059. "It Is exciting to see this technique In which we were so involved getting practical ap Free Press "We kept telling stories and jokes to keep from being afraid of the dark," say two boys, found at Milwaukee in a boxcar sealed two weeks ago In Fay-etteville, N.C (Page 2) President Johnson presents the Medal of Honor to the father of a Chicago Negro who saved the lives of four other soldiers by throwing himself on a grenade. (Page 5) U.S. and Vietnamese Marines Battle Reds Close to Saigon Judge Divoll a notch, leaving a vacancy at the end of the line. Sylvester, when he returned to the superior bench, took his place at the end of the line despite the fact he is the senior superior judge.

Thus, there is a possibility Sylvester might be considered for an appointment that, would return him as chief superior judge. Hoff said he would make his decision this Friday. Since there is no Legislature in session, the appointment falls to the governor. The Democratic governor said he had considered either Larrow, a Democrat, or former House Speaker Franklin S. Billings Jr.

of Woodstock, a Republican, to the bench. Hoff said the appointment posts a "personal dilemma" to him because of the difficulty of selecting between Iwo men he said are "so well qualified for the appointment." The governor said Rillings is an old personal friend who has long made it clear he wants to be a judge. While he was speaker of the 1965 Vermont House, Billings told a reporter he would sooner be a judge than governor of Vermont, On the other hand, Hoff said Larrow Is also a friend and a man who has long provided leadership and service to the rounds Into the field just north of Pleiku City, 240 miles northeast of Saigon. Police in Cholon, the Chinese section of Saigon, described tho operation on the outskirts of the capital as a big one. They said U.S.

Marines and Vietnamese marines were engaged with the Viet Cong near the Long Vinh outpost. The outpost is just across the Kinh Doi Canal, which cuts through the Cholon sector. The heavy bombing by U.S. es and management at a joint news conference. Dirksen stopped short of the mismanagement accusation Ford has made repeatedly.

Both men rejected any idea that McNamara resign. Nevertheless, Ford said he stands "without any hesitation or equivocation" by his assertion that the U.S. effort is being shockingly mismanaged by civilians in the Pentagon. "We can help them correct their mistakes," Ford added, McNamara, before the Senate Foreign Relations Committee on Wednesday, described as "baloney" charges that there is a bomb shortage in South Viet Nam, and as absurd the complaints of shipping problems, "I don't believe that Secretary McNamara was right when he called these charges baloney," said Ford. He said the Pentagon chief answered the supply complaints with a mass of "irrelevant statistics." Robert W.

Larrow Democratic party. It was Larrow's 1952 race for governor that is generally regarded as having started the resurgence of the Democratic party in Vermont. Although he lost that election, Larrow became the first Democratic candidate for governor ever to poll more than 60,000 votes. He later made unsuccessful bids for attorney general and for mayor of Burlington. He retired as Burlington city attorney in 1963 after 19 years in that post.

Hoff named him chairman of the Liquor Control Board in 1964. If he Is appointed a superior judge, he will have to step down from the Liquor Control Board post and Hoff will name a successor to fill out the remainder of a term that runs through J9. Hoff received Divoll's letter of resignation some time ago, but did not announce it until he had made a decision on appointment of a new superior judge. Divoll was educated at Mid-dlebury College and St. Lawrence University Law School.

Larrow is a graduate of Holy Cross College and tht Harvard Law School. As chief superior judge, Divoll receives $17,000. The flva other superior judges receive $16,500 annually. planes cam about 7)90 ft.m. The bombing was among tha closest ever made to Saigon and the explosions of the bombs rattled windows and tableware in the heart of the city.

There was no immediate report on the outcome of the operation. Battalions of U.S. Marines and Vietnamese troops pounced from helicopters Thursday on a Communist base in the Quang Ngoi sector and battered tho Red regulars they surprised there in a day-long battle. Vietnamese troops appeared to be resuming their wheelhorse role in the field after the political diversions that limited their campaigning early in April. Living Costs Climb in March WASHINGTON (AP) The cost of living climbed upward again in March and a further increase is likely this month, the Labor Department said Thursday, but the outlook for the rest of the year is clouded.

The March increase attributed to higher prices for many foods, goods and services was a smaller jump than that recorded in February but was still large enough to cause continuing concern. The index in March was reported at 112 per cent of the 1957-59 average, as compared with 111.6 in February. This means that a typical assortment of household goods that cost $10 in the base period came to $11.16 in February and to $11.20 last month. News Digest The federal government announces the consumer price in-dex for March a week early, with officials watching to see if it indicates any slowing down in the rapid rise of February. INTERNATIONAL "I have not been toppled from power," declares Indonesia's Sukarno, who then accuses his foes of trying to put him down.

(Page 2) SAIGON, South Viet Nam (AP) U.S. and Vietnamese Marines fought the Viet Cong so close to Saigon Friday that residents of the capital could see bombs hurtling on their targets from U.S. bombers supporting the operation. In the central highlands, the Viet Cong made a mortar attack before dawn on the air field at Pleiku. Aircraft suffered light damage, a U.S.

military spokesman said. The Vict Cong fired about 18 mortar Ford, Despite Criticism, Doesn't Want McNamara Out WASHINGTON (AP) House Republican Leader Gerald R. Ford pressed his Viet Nam mismanagement charges against Secretary of Defense Robert S. McNamara but said Thursday the Pentagon should not change bosses in the middle of a war. "I think it would be unfortunate at this time to make a shift and bring in a new man," said the Michigan congressman.

In the Senate, a Democratic member of the Foreign Rela-tions Committee urged that the United States seek a two-week, election cease-fire in South Viet Nam. Sen. Albert Gore of Tennessee told the Senate a cease-fire would remove a hindrance to broad participation and result in a more meaningful election next August. Ford and Senate Republican Leader Everett M. Dirksen of Illinois talked about war suppli I Plastic heart implanted in causes expansion and Michael DeRudder Thursday is similar to device shown at contraction of air chamber diaphragm (lower diagrams at left.

External compressor right). (UPI Telephoto.