scholarly journals Make Cardiac Surgery Great again: The Perks of Being a Resident

2021 ◽  
Vol 10 (01) ◽  
pp. e6-e8
Author(s):  
Mathias Van Hemelrijck
Keyword(s):  
Cardiac Surgery ◽  
Residency Programs ◽  
The World ◽  
Cardiac Surgeon ◽  
Transcatheter Interventions ◽  
Surgical Operations

AbstractTraining in cardiac surgery is a cumbersome topic. Over the last years, major cardiac surgical operations have been found to decrease due to the increasing number in transcatheter interventions. Becoming a cardiac surgeon has become partly a hard task. Since the beginning of 2020, the new coronavirus epidemic has been shaking peoples' lives all over the world, hindering every normal hospital activity including residency programs.

The role of cardiac surgery in transvenous lead extraction (TLE) – experience from high volume center and 3207 procedures

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
L Tulecki ◽  
M Czajkowski ◽  
S Targonska ◽  
K Tomkow ◽  
D Nowosielecka ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Tricuspid Valve ◽  
Surgical Intervention ◽  
Clinical Success ◽  
Left Ventricular ◽  
Lead Extraction ◽  
Icd Leads ◽  
Ventricular Lead ◽  
Cardiac Surgeon

Abstract Background The guidelines suggest close co-operation between TLE operating team and cardiac surgery and its key role in the management of life-threatening complications remains unquestionable. But the role of cardiac surgeon seems to be much more extended. Purpose We have analysed the role of cardiac surgery in treatment of patients undergoing TLE procedures. Methods Using standard non-powered mechanical systems we have extracted ingrown PM/ICD leads from 3207 pts (38,7% female, average age 65,7-y) during the last 14 years. Non-infectious TLE indications were in 66,4% of patients. 46% had PM DDD system, 19% PM SSI, 22% ICD, 9% CRT, 4% other systems. In 12% of patients abandoned leads were found. 8% of patients had one lead, 54% - two, 15% - three and 4% - 4–6 leads in the heart. An average dwell time of all leads was 91,5 mth. The lead entry side was left in 96% of patients, right in 3% and both – 4%. Results Procedural success 96,1%, clinical success - 97,8%, procedure-related death 0,2%. Major complications appeared in 1,9% (cardiac tamponade 1,2%, haemothorax 0,2%, tricuspid valve damage 0,3%, stroke, pulmonary embolism <1%). Conclusions Rescue cardiac surgery (for severe haemorrhagic complications) is still the most frequent reason of surgical intervention (1,1%). The second area of co-operation includes supplementary cardiac surgery after (incomplete) TLE (0,8%). The third one is connected with reconstruction or replacement of tricuspid valve, which can be affected by ingrown lead or damaged during TLE procedure (0,5%). Implantation of the complete epicardial system during any surgical intervention (rescue or delayed) should be considered as a supplementation of the operation (0,65%). Some of patients after TLE need implantation of epicardial leads for permanent epicardial pacing (0,6%) and some only left ventricular lead to rebuild permanent cardiac resynchronisation (0,5%). The single experience of large TLE centre indicates the necessity of close co-operation with cardiac surgeon, whose role seems to be more comprehensive than a surgical stand-by itself. Table 1 Funding Acknowledgement Type of funding source: None

scholarly journals Use of the world wide web by cardiac surgery patients☆

2010 ◽  
Vol 10 (5) ◽  
pp. 719-720 ◽  
Author(s):  
Jeffrey Lim ◽  
Alexander W. Phillips ◽  
Rana Sayeed
Keyword(s):  
Cardiac Surgery ◽  
World Wide Web ◽  
World Wide ◽  
The World

scholarly journals The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre

2020 ◽  
Vol 58 (4) ◽  
pp. 667-675 ◽  
Author(s):  
Isaac George ◽  
Michael Salna ◽  
Serge Kobsa ◽  
Scott Deroo ◽  
Jacob Kriegel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Surgery ◽  
Resident Training ◽  
Specific Task ◽  
Severe Reduction ◽  
Clinical Strategies ◽  
The World ◽  
Physical Resources ◽  
Near Future ◽  
Rapid Transformation

Abstract OBJECTIVES The onset of the coronavirus disease 2019 (COVID-19) pandemic has forced our cardiac surgery programme and hospital to enact drastic measures that has forced us to change how we care for cardiac surgery patients, assist with COVID-19 care and enable support for the hospital in terms of physical resources, providers and resident training. METHODS In this review, we review the cardiovascular manifestations of COVID-19 and describe our system-wide adaptations to the pandemic, including the use of telemedicine, how a severe reduction in operative volume affected our programme, the process of redeployment of staff, repurposing of residents into specific task teams, the creation of operation room intensive care units, and the challenges that we faced in this process. RESULTS We offer a revised set of definitions of surgical priority during this pandemic and how this was applied to our system, followed by specific considerations in coronary/valve, aortic, heart failure and transplant surgery. Finally, we outline a path forward for cardiac surgery for the near future. CONCLUSIONS We recognize that individual programmes around the world will eventually face COVID-19 with varying levels of infection burden and different resources, and we hope this document can assist programmes to plan for the future.

scholarly journals The 2017 Seventh World Congress of Paediatric Cardiology and Cardiac Surgery: “The Olympics of our Profession”

2017 ◽  
Vol 27 (10) ◽  
pp. 1865-1869 ◽  
Author(s):  
Mitchell I. Cohen ◽  
Jeffrey P. Jacobs ◽  
Sertac Cicek
Keyword(s):  
United States ◽  
New York ◽  
Cardiac Surgery ◽  
Steering Committee ◽  
Asia Pacific ◽  
Scientific Program ◽  
World Congress ◽  
Paediatric Cardiology ◽  
Numerical Equality ◽  
The World

AbstractThe 1st World Congress of Paediatric Cardiology was held in London, United Kingdom, in 1980, organised by Dr Jane Somerville and Prof. Fergus Macartney. The idea was that of Jane Somerville, who worked with enormous energy and enthusiasm to bring together paediatric cardiologists and surgeons from around the world. The 2nd World Congress of Paediatric Cardiology took place in New York in 1985, organised by Bill Rashkind, Mary Ellen Engle, and Eugene Doyle. The 3rd World Congress of Paediatric Cardiology was held in Bangkok, Thailand, in 1989, organised by Chompol Vongraprateep. Although cardiac surgeons were heavily involved in these early meetings, a separate World Congress of Paediatric Cardiac Surgery was held in Bergamo, Italy, in 1988, organised by Lucio Parenzan. Thereafter, it was recognised that surgeons and cardiologists working on the same problems and driven by a desire to help children would really rather meet together. A momentous decision was taken to initiate a Joint World Congress of Paediatric Cardiology and Cardiac Surgery. A steering committee was established with membership comprising the main organisers of the four separate previous Congresses and additional members were recruited in an effort to achieve numerical equality of cardiologists and surgeons and a broad geographical representation. The historic 1st “World Congress of Paediatric Cardiology and Cardiac Surgery” took place in Paris in June, 1993, organised by Jean Kachaner. The next was to be held in Japan, but the catastrophic Kobe earthquake in 1995 forced relocation to Hawaii in 1997. Then followed Toronto, Canada, 2001, organised by Bill Williams and Lee Benson; Buenos Aires, Argentina, 2005, organised by Horatio Capelli and Guillermo Kreutzer; Cairns, Australia, 2009, organised by Jim Wilkinson; Cape Town, South Africa, 2013, organised by Christopher Hugo-Hamman; and Barcelona, Spain, 2017, organised by Sertac Cicek. With stops in Europe (1993), Asia-Pacific (1997), North America (2001), South America (2005), Australia (2009), Africa (2013), and Europe again (2017), in 2021, The World Congress of Paediatric Cardiology and Cardiac Surgery will be held for the first time in the continental United States.1 The 8th World Congress of Paediatric Cardiology and Cardiac Surgery will be held in Washington DC, United States of America, 19–24 September, 2021, and will be organised by Jeffrey P. Jacobs and Gil Wernovsky. Mitchell I. Cohen served as the Scientific Program Co-Chair for the 2017 World Congress of Paediatric Cardiology and Cardiac Surgery, and he will again serve as the Scientific Program Co-Chair for the 2021 World Congress of Paediatric Cardiology and Cardiac Surgery along with Kathyrn Dodds RN, MSN, CRNP. Information about the upcoming 8th World Congress of Paediatric Cardiology and Cardiac Surgery can be found at www.WCPCCS2021.org

Congenital heart disease

2012 ◽  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Transcatheter Interventions ◽  
Surgical Operations ◽  
Specific Management ◽  
Management Issues

Introduction 590Assessment of patients with CHD (1) 592Assessment of patients with CHD (2) 594Specific signs in patients with CHD 596Surgical operations for CHD (1) 598Surgical operations for CHD (2) 600Percutaneous transcatheter interventions for CHD 604Specific management issues 606...

Global cardiac surgery: Access to cardiac surgical care around the world

2020 ◽  
Vol 159 (3) ◽  
pp. 987-996.e6 ◽  
Author(s):  
Dominique Vervoort ◽  
Bart Meuris ◽  
Bart Meyns ◽  
Peter Verbrugghe
Keyword(s):  
Cardiac Surgery ◽  
Surgical Care ◽  
The World

scholarly journals Epidural Anaesthesia & Analgesia For Severely Cardiac Compromised Patient With Pregnancy

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 69-71
Author(s):  
Md Rafiqul Islam ◽  
Md Pervez Rahman ◽  
Laila Yesmin ◽  
Rahena Khatun ◽  
Md Salah Uddin Ahmed
Keyword(s):  
Cardiac Surgery ◽  
Epidural Anaesthesia ◽  
Pregnant Patient ◽  
Popular Method ◽  
The World ◽  
Close Supervision ◽  
History Of ◽  
Mitral Commissurotomy ◽  
American Society ◽  
Rheumatic Heart

Epidural anaesthesia is a very popular method of anaesthesia and post-operative analgesia for cardiac compromised pregnant patient all over the world. In our case Mrs. Akhi 34 years pregnant women admitted in KYAMCH on 13.03.2017 with 37 weeks pregnancy. She has a long history of Rheumatic fever followed by Rheumatic heart disease, severe MS (mitral stenosis) after that she was operated CMC (Close Mitral Commissurotomy) in 2012. She was admitted with respiratory distress at KYAMCH, with pregnancy on December 2016. After that she was under close supervision of cardiac surgery and Gynae and Obstetrics department. After admission on 13.03.2017 she was evaluated by the department of anaesthesia and graded as ASA (American Society of Anaesthesia) class-4. And selected for routine case of caesarean section on 14.03.2017. Operation was done under epidural anaesthesia and post-operative analgesia was maintained by epidural catheter.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 69-71

scholarly journals EARLY OUTCOME OF ADULT CARDIAL SURGERY IN LOW VOLUME COMMUNITY HOSPITAL EXPERIENCES OF YOUNG SURGEON FROM DEVELOPING COUNTRY

2017 ◽  
Vol 52 (2) ◽  
pp. 136
Author(s):  
Yan Efrata Sembiring
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Disease ◽  
Community Hospital ◽  
Early Outcome ◽  
Young Surgeon ◽  
Cardiac Procedures ◽  
Cardiac Surgeon ◽  
Low Volume ◽  
Adult Cardiac Surgery

After finishing training, every young cardiac surgeon wants to start a good carrier as fast as they can. We describe the early outcome of adult cardiac surgery that have been done by a young in low volume community hospital in Surabaya – Indonesia within periods December 2010 – December 2013. A retrospective study of 133 adult cardiac cases during December 2010 – December 2013 at Division of Thoracic, Cardiac and Vascular Surgery Dr. Soetomo Hospital Surabaya provides a comprehensive data concerning adult cardiac procedures which collected and analyzed. In last 3 years, the total number of adult cardiac disease which is undergone a surgery was 133 cases. The procedures were involved CABG (85 cases, 63.91%); valve procedures (7 cases, 5.26%); and others procedures (6 cases, 4.51%). All cases were done by a young surgeon. Thirty day early follow up, there were 3 patients suffered from wound infection, 7 patients undergone re-do procedures due to mediastinal bleeding and cardiac tamponade. Mortality rate was 1.5%. The conclusion, good mentoring from senior surgeon and good training give a good result of adult surgery done by a young surgeon in low volume community hospital.

scholarly journals First female cardiac surgeon

2021 ◽  
Vol 0 (Ahead of Print) ◽  
Author(s):  
Azat Turgunov
Keyword(s):  
Cardiac Surgery ◽  
History Of Medicine ◽  
Key Words ◽  
Moral Values ◽  
Men And Women ◽  
Medicine History ◽  
Long Time ◽  
History Of ◽  
Cardiac Surgeon

For a long time, medicine was the prerogative of men, and women were not allowed to this area. And despite the prohibitions and moral values of those times, women left a mark in the history of medicine. Key words: women, medicine, history, cardiac surgery

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