Dr Torrent-Guasp... formalized this description by indicating that the heart looked like a "rope"... [in] three parts: a beginning and an end at the … - Gerald Buckberg

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Dr Torrent-Guasp... formalized this description by indicating that the heart looked like a "rope"... [in] three parts: a beginning and an end at the and ; a wraparound loop called a basal loop; and... a helix that he called the apical loop. ...He described a [billion year old] worm... with a vascular tube... like a rope, with a venous and an arterial system. ...[F]ish evolved to show the first generation of a heart, containing a single pumping chamber, and included gills... [Next] the amphibian and the reptile appeared, in which we observe an atrium and a ventricle. Each chamber was separated by an atrial and ventricular septal defect. Human beings developed... [later] and both the atrial defect and the ventricular defect are closed.

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About Gerald Buckberg

(September 29, 1935 - September 20, 2018) was a Distinguished Professor of Surgery, Division of Cardiothoracic Surgery, at the . His research interests initially centered in the area of myocardial protection and led to the introduction of blood , which is currently used by over 85% of surgeons in the United States and 75% of surgeons worldwide for adult and pediatric heart operations. He was a member of multiple surgical societies, including the , , and the .

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Additional quotes by Gerald Buckberg

[A] normal heart... is twisting and it's very happy. But... a sick heart... it's dilated and not very efficient. ...What you have to make, is a basketball into a football. ...[A]s you do this operation, it's... not very complicated. Here's the dilated ventricle with the scar in it. We basically open the scar, put a little stitch in there, bring the edges together, throw a patch in there and fix the ventricle. ...The job is to make abnormality normality... restore nature, restore the natural form.

The classic view of cardiac anatomy relates to contracting and relaxing, or more specifically, constricting to narrow and eject, and dilating to widen and fill. This sequence was defined by William Harvey. However, the predominant motion of the heart is... rather shortening and narrowing. There are four fundamental motions... narrowing, shortening, lengthening, and widening... a downward twisting of the muscle fibers... shorten and thicken and thereby make the heart eject. This twisting or torsion was described by Borelli, in the 1600s, to simulate the wringing of a rag. ...[P]rogression of contraction into the ascending segment ...results in twisting and thickening in an opposite direction. This sequence is followed by relaxation to allow the ventricle to fill during the remainder of the diastolic phase. ...[T]he heart twists to eject and reciprocally twists to fill in a clockwise and counterclockwise manner... twisting and untwisting of the conical heart muscle in reciprocal directions. ...[T]he predominant action is shortening and lengthening, rather than narrowing and widening... ejection during shortening and suction to fill during lengthening...

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[A] cathedral... has the principle of a and a . ...There's the heart. It's exactly the same thing. ...There's ...an iceberg. The iceberg and the heart are the same [form]. Imagination is that you have to see what is, not what you want to see. ...[T]he hurricane and a heart have exactly the same direction. They whirl in the same way. [T]he galaxy... it's exactly the same concept.

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