The document provides a history of cardiac surgery from the 19th century to modern times. It discusses early operations on the heart and pericardium in the 19th century. It then covers the development of anesthesia, vascular surgery, cardiac catheterization, and heart-lung bypass machines, which enabled open-heart surgery. Some key events summarized are the first successful cardiac surgery without complications in 1896, the first use of external heart-lung machines in the 1950s, the first open-heart repair under direct vision in 1952, the first coronary artery bypass surgery in 1960, and the first human heart transplant in 1967. The document also discusses the early development of heart valve surgery and prosthetic heart valves.
my aortic surgery presentation in Solo as an introduction for general practitioner and cardiology resident
Cover the basic diagram of surgical procedures of aorta.
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. • medicine
• The danger of touching the heart
• Anesthesia
• Control of the airway
• Vascular surgery
• Cardiac catheterization
• Heart-lung bypass
3.
4. 19 th century
• The development of major surgery was retarded for centuries by a lack of knowledge and
technology
The earliest operations on the pericardium performed by
• Francisco Romero (1801)
• Dominique Jean Larrey (1810)
• Henry Dalton (1891)
Daniel Hale Williams (1893)
The first surgery on the heart itself was performed by Axel Cappelen on 4 September 1895
at Rikshospitaltin Kristiania, Cappelen ligated a bleeding coronary artery in a 24-year-old
man who had been stabbed in the left axilla and was in deep shock upon arrival.
The first successful surgery on the heart, without any complications, was performed by
Dr. Ludwig Rehn of Frankfurt, Germany, who repaired a stab wound to the right ventricle on
7 September 1896.
5.
6. Lillehei performed surgeries using cross-circulation, in which a donor was hooked up nearby to
take up the pumping and oxygenation functions of the patient as he was being operated on.
.
7. • In 1958, Lillehei was responsible for the world's first use of a small,
external, portable, battery-powered pacemaker was invented by Earl
Bakken
9. • Cohn reported his attempts with atrial wall invagination for experimental
ASD closure in dogs in 1947.
• In 1952, Lewis and Taufic reported ASD repair in a 5- year-old girl using
hypothermia and inflow occlusion. This was the first successful open
heart repair under direct vision and marked the onset of the open heart
surgical era
• Dr. John Gibbon opened the modern era of open-heart surgery on May 6,
1953, using the heart-lung machine, or cardiopulmonary bypass (CPB),
when he successfully repaired an ASD in an 18-year-old woman
10. Coronary artery bypass surgery
• The first coronary artery bypass surgery was performed in the United States on
May 2, 1960, at the Albert Einstein College of Medicine-Bronx Municipal Hospital
Center by a team led by Robert H. Goetz and the thoracic surgeon
• Soviet cardiac surgeon, Vasilii Kolesov, performed the first successful internal
mammary artery–coronary artery anastomosis in 1964.[
• However, Goetz has been cited by others, including Kolesov, as the first successful
human coronary artery bypass.Goetz's case has frequently been overlooked.
• The anastomosis was intima-to-intima, with the vessels held together with
circumferential ligatures over a specially designed metal ring.
11. • René Favaloro an Argentine surgeon, achieved a physiologic approach in
the surgical management of coronary artery disease—the bypass grafting
procedure—at the Cleveland Clinic in May 1967.His new technique used
a saphenous vein autograft to replace a stenotic segment of the right
coronary artery . Later, he successfully used the saphenous vein as a
bypassing channel, which has become the typical bypass graft technique
we know today
• In 1968, doctors Charles Bailey, Teruo Hirose and George Green used the
internal mammary artery instead of the saphenous vein for the grafting
12. CPB
• An Austrian-German physiologist Maximilian von Freyconstructed an
early prototype of a heart-lung machine in 1885 at Carl Ludwig’s
Physiological Institute of the University of Leipzig
• However, such machines were not feasible before the discovery
of heparin in 1916 which prevents blood coagulation.
• A Soviet scientist Sergei Brukhonenko developed a heart-lung machine
for total body perfusion in 1926 which was used in experiments with
canines.
14. cardioplegia
• The earliest attempts to perform open heart surgery before the advent of the heart-lung
machine used systemic hypothermia produced by surface cooling not only to protect the
heart but to protect the brain and other organs during circulatory arrest.
• However, uniform cardiac hypothermia is difficult to achieve solely by the introduction
of cold intracoronary perfusates, and systemic hypothermia is necessary
• In an attempt to overcome this problem, Shumway and associates introduced the
concept of profound local (topical) hypothermia by filling the pericardial sac with ice-
cold saline
• After the initiation of open heart surgery with use of extracorporeal
circulation by Gibbon, it soon became obvious that aortic cross-clamping was necessary to
provide a bloodless field to facilitate the precise repair of intracardiac defects,
• Melrose and colleagues2 introduced the concept of “elective cardiac arrest” by rapidly
injecting into the aortic root, after aortic cross-clamping, a 2.5% potassium citrate
solution in warm blood to arrest the heart.
• Soon thereafter, experimental and clinical evidence demonstrated the development of
severe myocardial necrosis associated with the Melrose technique.
15. Heart transplant
• In 1945, the Soviet pathologist Nikolai Sinitsyn successfully transplanted a heart from one frog to
another frog and from one dog to another dog.
• world's first adult heart transplant was performed by a South African cardiac surgeon,
• Christiaan Barnard, using techniques developed by Shumway and Richard Lower.
• Barnard performed the first transplant on Louis Washkansky on 3 December 1967 at Groote Schuur
Hospital in Cape Town.
• Adrian Kantrowitz performed the first pediatric heart transplant on 6 December 1967 at
Maimonides Hospital
• Shumway performed the first adult heart transplant in the United States on 6 January 1968
at Stanford University Hospital
17. The development of heart valve
surgery
• The invention of the heart-lung machine - allowed the development of
open-heart surgery.
• An important aspect of this was the treatment of defective valves
• Charles A. Hufnagelwas an American surgeon who in the early 1950
invented the first artificial heart valve
• first variation of the ball-in-cage valves
• This event accelerated the development of other artificial heart valves.
18. • The caged-ball valve created by Albert Starr and Lowell Edwards was
implanted for the first time in September 1960 in the mitral position
• the Starr–Edwards prosthetic valve a benchmark in the field of
valvular surgery