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" "Conclusive answers are not gained by adhering to past beliefs or by assuming that what seems logical is valid. The answer is only revealed through investigation.
(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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To unfold the heart, we must separate the aorta from the pulmonary artery... to expose the free wall of the right ventricle. ...[W]e must unfold the helix of the heart ...unroofing ...the from its ventricular attachment to separate the ascending and descending [helix] limbs... by unwrapping the coil. ...[A] longitudinal myocardial band is demonstrated that corresponds directly to an open stretched rope. ...Dr Torrent-Guasp has performed this unfolding or unscrolling while dissecting an intact heart... to define the intact myocardium as a single muscle band that extends between the aorta at its termination to the at its beginning. ...A fascinating study was done by Dr P. P. Lunkenheimer... which can counteract concerns that this... may not be repro-ducible...
Fifty percent of [heart] failures are caused by poor contraction of the ventricle (systolic dysfunction) that pumps blood... But the other half have poor filling (diastolic dysfunction) of blood into the ventricle... despite... normal heart contraction. ...[T]here has been uncertainty in how to treat diastolic dysfunction because its mechanical causes have been unknown.