[O]ne of the great anguishes in medicine is its inability to treat right (ventricle) heart failure... [due to] an absence of understanding how the no… - Gerald Buckberg
" "[O]ne of the great anguishes in medicine is its inability to treat right (ventricle) heart failure... [due to] an absence of understanding how the normal right ventricle... functions. Conventional views hold... a 400-year-old belief that the right ventricle compresses like "a "... But... that... only accounts for 20% of the... pumping... The shortening of the septum... produces 80% of its function. ...Torrent-Guasp’s "helix and wrap"... model clarifies why... [m]odern 3-D imaging confirms that the septum portion of the helix... twists to pump... from the right ventricle to the lungs... In animal testing, we further verified [this].
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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
I picked up a book [The Illustrations from the Works of Andreas Vesalius of Brussels ed., Saunders & O'Malley] on Vesalius... [H]e cut the heart... to see the different cavities... in the 1500s. ...[T]he cardiac structure is the first example since Leonardo da Vinci showing the thickness of the walls and the shape of the cavities.
Our job is to restore the helix... because congestive heart failure is the major killer in the world today. ...[T]he thing that makes the heart very effective is the way the spiral of the ventricle is formed. ...The minute you ...stretch the ventricle... the tranverse part... in the basal loop, it doesn't contract as effectively.
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...
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