Cardiac surgeon

It has now been well over two decades since that cardiac surgeon told me that the second bypass operation I needed might kill me, leaving my children without their daddy. If some mysterious supernatural being came into my apartment that day when I wept at the thought of my wife having to tell little Ross and Jenny that... 

I guess if I were a cardiac surgeon I wouldn t be very excited about this mode of therapy either. It would be like telling Chevron and Exxon we ve invented a car that will run on saltwater. 

Finally, this important field of percutaneous valve treatments can only be developed expeditiously and to its fullest extent through collaborative efforts from interventional cardiologists, cardiac surgeons, and imaging experts as well as the device industry. Through these coordinated efforts and concerted collaborations, one can certainly envision that some day percutaneous heart valve techniques will offer safer and less invasive treatment options for a broad spectrum of patients with valvular heart disease. 

Implanting clinician What type of clinician will be performing the implantation A cardiac surgeon actually implants the cardiac pacemaker. An ear-nose-throat (ENT) surgeon implants the cochlear implant. Are there other doctors who can fill one or both of these roles ... 

The personnel required for the insertion of the ICD are very similar to those for pacemaker implantation. There is a primary surgeon, who may either be an electrophysiologist or cardiac surgeon. Of course, if an epicardial approach is instituted, the cardiothoracic surgeon is mandatory. In addition, an electrophysiologist and electrophysiology nurse should also be available. 

The personnel required for insertion of an ICD are very similar to those of the pacemaker implantation. The ICD manufacturer s representative, however, as stated, is controversial. He or she can be an important member of the implantation team and can prove invaluable for providing leads, defibrillators, and support equipment. The earlier ICD implantations that were limited to epicardial placement required a minimum of two trained physicians (an electrophysiologist and a cardiac surgeon). With the transition to the nonthoracotomy approach, a well-trained electrophysiologist working with an ICD manufacturer s representative is frequently all that is required. The ideal constitution of an ICD implantation team is listed in Table 4.1. Each member of the ICD implant team should be completely familiar with the unique requirements of an ICD implantation. This includes a protocol for patient rescue, should it be required. The circulating nurse is responsible for running... 

Cardiovascular technician Cardiac catheterization nurse Anesthesiologist Radiology technician Heart team Cardiac surgeon... 

Cardiovascular technicians Radiology technicians Catheterization laboratory nurse Heart team/perfiisionist Cardiac surgeon Anesthesiologist Extraction coordinator ... 

While he was still a medical student in 1932, renowned cardiac surgeon Michael E. DeBakey introduced a dual-roller pump for blood transfusion. It has since become the most widely used type of clinical pump for cardiopulmonary bypass and hemodialysis. Physician John H. Gibbon, Jr., of Philadelphia, developed the first clinically successful heart-lung pump. He initially demonstrated it in 1953, when he closed a hole between the atria of an eighteen-year-old girl. 

In a routine clinical setting, MDCT provides invaluable structural and functional information on the heart and great vessels that is of particular interest for cardiac surgeons with regard to therapeutic decision-making, preoperative risk stratification, and definition of the surgical strategy, as well as postoperative evaluation. 

CVC malposition (CVC insertion into a wrong vein or penetration of the CVC tip outside the venous lumen) should be detected by fluoroscopy or immediate postinsertion X-ray (see examples in fig. 4). Malposition of CVC still inside the lumen can be solved by a fluoroscopy-controlled exchange. Insertion outside the venous lumen associated with vein perforation is a more serious complication, and vascular or cardiac surgeon cooperation is needed to solve this problem. 

---