A recent survey of 3,292 post-operative patients showed approximately 40% had septums that were bulging or showing "paradoxical motion." ....[A]fter … - Gerald Buckberg

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A recent survey of 3,292 post-operative patients showed approximately 40% had septums that were bulging or showing "paradoxical motion." ....[A]fter valve surgery [it was] 60%. ...[T]he entire cardiovascular community (cardiologists and surgeons) has a lack in awareness of the critical importance of the septum.

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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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Stopping the heart is accomplished by shutting off its blood supply (a process called ). I discovered blood ... We initally realized the return of regular blood to a heart that has been without blood supply, will create severe damage. We then discovered how to prevent this injury by using a blood cardioplegic solution that contains selected chemical ingredients (including key amino acids...)that safely protects the heart... [E]ffectiveness... depended upon their arriving at specific locations... But many of our patients had narrowed arteries... This barrier was overcome by delivering it in a "backward direction" via the heart’s main vein... further enhanced by administering it at different temperatures during the beginning and end of the operation.

The zebrafish is... interesting... It's aorta is 1/3 the size of a human hair. But yet.. it works exactly like yours and mine do. ...So we're not unique. We're just a part of a wonderful scheme of nature. ...[W]e're such a part of a scheme that we look at reciprocal spirals in heaven...

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[T]he heart... is, in reality, a that contains an apex. The cardiac helix form... was described in the 1660s by Lower as having an apical , in which the muscle fibers go from outside in, in a clockwise way, and from inside out, in a counterclockwise direction.

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