Charles S. Roberts M.D.

Roberts, C.S. (2022). “The Physician Legacy of Stewart R. Roberts, MD (1878-1941), “The Osler of the South”.” Am J Cardiol 162: 191-196.

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A comparison of Stewart R. Roberts, MD, to the great Sir William Osler (1849–1919) is not the purpose or argument of this article. Virtually no one compares to Osler, who was considered the greatest physician of his generation in the English-speaking world. His single-authored medical textbook of 1892 was a tremendous achievement.² The career path of Osler, from Montreal to Philadelphia to Baltimore, and finally to Oxford, England, never crossed that of Roberts, who was born a generation later and spent his entire medical career in the South, peculiar in its agrarian tradition and racial demography and, by far, the most economically depressed region in the United States for decades after the Civil War. [No abstract; excerpt from article].

Chalkley, R. A., W. C. Roberts, S. Patlolla, J. M. Schussler, R. W. Snyder, 2nd, R. L. Smith, 2nd, C. S. Roberts and D. M. Meyer (2020). “Giant Right Coronary Artery Aneurysms.” Am J Cardiol 125(10): 1599-1601.

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Described herein are 2 adults with right coronary artery aneurysms measuring ≥4.0 cm in maximal diameter. Each aneurysm contained huge intra-aneurysm thrombus and each coronary artery contained atherosclerotic plaques diffusely. Each aneurysm was resected without complication and each patient has resumed preoperative level of activities without limitations.

Roberts, C. S., R. C. Stoler and W. C. Roberts (2020). “The Case for Primary Prevention of Atherosclerotic Events from Study of a Single Patient.” Am J Cardiol 125(9): 1443-1445.

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This report describes a 64-year-old woman who presented with unstable angina pectoris, her first atherosclerotic event, and who underwent coronary bypass including endarterectomy of the entire right coronary artery which was diffusely and severely narrowed by atherosclerotic plaque. Preoperatively, she fulfilled none of the present-day criteria for lipid-lowering drug therapy. The report demonstrates the deficiency of present-day lipid-lowering drug guidelines and emphasizes the need to switch emphasis from decreasing risk of an atherosclerotic event to the prevention of arterial plaques, a goal which will require a much lower threshold of low-density lipoprotein cholesterol to initiate drug therapy.

Cox, J., W. C. Roberts, F. G. Araj, J. Jarzembowski, C. Y. Guerrero-Miranda, A. Cooley, C. S. Roberts and D. M. Meyer (2020). “Acute Isolated Coronary Artery Dissection Causing Massive Acute Myocardial Infarction and Leading to Unsuccessful Coronary Bypass, Extracorporeal Life Support, and Successful Cardiac Transplantation.” Am J Cardiol 125(9): 1446-1448.

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Described herein is a 42-year-old woman who suddenly developed a spontaneous isolated coronary arterial dissection which led to massive acute myocardial infarction with shock, unsuccessful coronary artery bypass grafting, transiently successful extracorporeal life support, and finally successful heart transplant. Such a sequence of events is exceedingly rare for patients with coronary dissection and prompted this report.