RT Journal A1 Deveney CW T1 A medical student's meeting with two giants JF Archives of Surgery JO Archives of Surgery YR 1999 FD March 1 VO 134 IS 3 SP 322 OP 322 DO 10.1001/archsurg.134.3.322 UL http://dx.doi.org/10.1001/archsurg.134.3.322 AB IN 1967, as a second-year medical student at University of California, San Francisco, I had the fortune or misfortune of diagnosing an arteriovenous malformation in my wife's neck near the base of her skull. After acquiring a bit of knowledge in physical examination and cardiovascular physiology, I came to the conclusion that the "machinery-like" murmur I had heard in her neck might be pathological. I referred my wife to my preceptor in internal medicine, Joe Kaufman, MD, a cardiologist, who told us that my wife had a cirsoid aneurysm off the vertebral artery and that it was serious.