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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2020, Number 4

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Cir Card Mex 2020; 5 (4)

Congenital Heart Surgery. The (personal) rookie’s perspective

Ricciardi G
Full text How to cite this article

Language: English
References: 7
Page: 107-109
PDF size: 89.23 Kb.


Key words:

Congenital heart surgery, Learning, Personal perspective, Training.

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.


REFERENCES

  1. Blasberg JD, Kranz SB. What and how to read: Staying current as a young cardiothoracicsurgeon. J Thorac Cardiovasc Surg 2017;154:558-62.

  2. Frescura C, Thiene G. The new concept of univentricular heart. Front Pediatr2014; 2:62. doi: 10.3389/fped.2014.00062.

  3. Anderson RH, Shirali G. Sequential segmental analysis. Ann Pediatr Card2009;2:24-35.FUNDING: NoneDISCLOSURE: The author has no conflicts of interest to disclose.

  4. Anderson RH, Ho SY. What is a ventricle? Ann Thorac Surg 1998;66:616-20.

  5. Van Praagh R, David I, Van Praagh S. What is a ventricle? The single-ventricletrap. Pediatr Cardiol 1982;2:79-84.

  6. Lev M. Pathologic diagnosis of positional variations in cardiac chambers in congenitalheart disease. Lab Invest 1954;3:71-82.

  7. Fraser CD. Becoming a congenital heart surgeon in the current era: Realistic expectations.J Thorac Cardiovasc Surg 2016;151:1496-7.




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Cir Card Mex. 2020;5