2020, Number 4
Cir Card Mex 2020; 5 (4)
Congenital Heart Surgery. The (personal) rookie’s perspective
Ricciardi G
Language: English
References: 7
Page: 107-109
PDF size: 89.23 Kb.
Text Extraction
Since I started Medical School, I have always been dreaming about being a Congenital Heart Surgeon. As a student, I was fascinated by the way these fancy hearts could always find how to “pay their dues”, whatever the anatomy, the disrupted physiology or the anomalies of the surrounding structures. They keep beating at their own rhythm, reaching a special, even if unstable, balance.As a young resident, I get somehow surprised almost every time I scrub in the OR on a Congenital Case. Only once in a blue moon, in the most complex defects, the setting is the one you expected from the echocardiogram or the other previous investigation. You must keep your wits all the time, investigate again all the structures, reconsider the pattern, the relationships and the continuously changing vital parameters. It is not uncommon to start from scratch by a “new” intraoperative diagnosis, which forces the surgeon to think twice and perhaps change the planned strategy.
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