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" "Paco Torrent-Guasp’s revelation of the heart’s authentic structure finally explains... stretching (dilation) during heart failure causes the heart’s normal elliptical shape (like a football) to become spherical (like a basketball). This geometric alteration rearranges the heart muscle pathways so the natural helix figure-eight pattern now becomes horizontal. ...[T]he spherical heart loses its normal ability to twist, which markedly reduces its contraction power, causing fatigue and breathlessness. ...Conventional treatments that only remedy diseased narrowed arteries or leaky valves do not restore... function correctly. ...Normality can only be returned by restoring the... shape... Paco’s helical heart... became my guide, leading to a new procedure called "Pacopexy"... [achieving] functional improvement... not... possible without... ventricular restoration to rebuild normality.
(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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Today, wonderful operations can be performed on babies to repair heart defects. This includes "blue babies." During the corrective procedure, high levels of oxygen are typically administered by a heart-lung machine... But... lung and heart damage may worsen. ...[O]ne cause of the problem were the high levels of oxygen administered ...as toxic substances are produced when such oxygen concentrations are metabolized. Babies are particularly vulnerable... Yet we found this "re-oxygenation injury" could be avoided by lowering oxygen levels delivered... There was excellent recovery of heart function without lung or body swelling. ...A 2012 overview on reoxygenation injury was published in the World Journal for Pediatric and Congenital Heart Surgery that summarized international papers from others... [R]aising such questions to traditionalists garners vehement rejection, along with counterarguments that keeping oxygen levels high is a strategy ..."proven..." over many decades (since not all blue babies suffer damage...) They perceive the greater risk is losing the baby because of "insufficient... oxygen"... and... blame... unforeseen complications on other factors.
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[A]s you look at this scheme of how we learn and grow... we go up and down this pipe. ...[G]rowth is knowledge to analyze, to differentiate, to take things apart. Wisdom is to synthesize, integrate, to bring them together. Wholeness means you have complimentary activity to use them both. You have to do something. Something has to happen, and as a surgeon we are lucky. We have the ability to combine wisdom and knowledge into action.