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COURNAND,
ANDRÉ FRÉDÉRIC (1895-1988) (Jean-François Picard, notice for France and the Americas, Culture, Politics and History, A multidisciplinary Encyclopedia, (Bill Marshall ed.), ABC-Clio inc. Santa Barbara, 2005, http://ebooks.abc-clio.com/). |
French-trained physician whose medical career in the
United States culminated in a Nobel Prize for physiology and medicine.
André Frédéric Cournand was born in Paris on
September 24, 1895. He studied physics, chemistry, and biology at the
Faculté des Sciences in Paris, graduating in 1913. The following
year, he began his medical studies, but upon the outbreak of World War I
he volunteered for the French army, where he served as a battalion
surgeon until the end of the conflict. On leaving the army, he resumed
his medical studies and became an intern at the Hôpitaux de Paris
in 1925. During the next few years he gained clinical experience,
especially in internal medicine, under Professor Robert Debré,
head of the pediatric service of the Children's Hospital in Paris.
In the 1930s, anxious to study and work in the United States, Cournand
secured a residency in the tuberculosis (later chest) service of
Columbia University at Bellevue Hospital in New York. He became chief
resident of this service and conducted research on the physiology and
physiopathology of respiration under the guidance of D. W. Richards.
Cournand also began his own work on the development of physiologic
methods of exploration of the cardiopulmonary system. By using the
catheter technique developed by W. Forsmann, Cournand and D. R. Richard
Jr. succeeded in measuring the blood pressure in the lung artery. This
discovery was crucial for the surgery of patients affected by silicosis,
and eventually it was recognized by the 1956 Nobel Prize. During World
War II Cournand was an investigator for the U.S. Office of Scientific
and Research Development, working in the Chemical Warfare Service.
Although Cournand became a U.S. citizen in 1941, he never cut his ties
with his home country. Throughout his career, he stayed in close contact
with his former teacher, Robert Debré. In the spring of 1945, as
the war was ending in Europe, Cournand proposed a plan to the
Rockefeller Foundation to assist French medical research. In 1947, with
the support of the French government and the Rockefeller Foundation, a
Medical and Surgery Relief Committee (MSRC) was established in New York
to provide grants to French clinicians eager to learn the new techniques
of biomedicine then in use in North America. The MSRC also provided
scientific equipment (centrifuges) and new medicines (cortisone) to
Louis Bugnard, director of the French Institut National
d'Hygiène. In 1950, Debré attempted to lure Cournand back
to France, where he could help with the renewal of medical research.
When Debré suggested Cournand for a chair at the Collège
de France, however, his candidature was blocked by academic rivalries.
Cournand decided to stay in New York, where he was appointed professor
at Columbia University's College of Physicians and Surgeons in 1951. A
few years later, when Cournand was awarded the Nobel Prize as a U.S.
citizen, Debré characterized this as “a severe warning for French
medical research.” Professor André F. Cournand died in 1988.