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Cardiac surgery

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144: 640: 4229: 3392: 3422: 3432: 562: 38: 2306: 3412: 829:, a machine controlled by a cardiac surgeon is used to perform a procedure. The main advantage to this is the size of the incision required: three small port holes instead of an incision big enough for the surgeon's hands. The use of robotics in heart surgery continues to be evaluated, but early research has shown it to be a safe alternative to traditional techniques. 3402: 2607: 714:, done without cardiopulmonary bypass. In these operations, the heart continues beating during surgery, but is stabilized to provide an almost still work area in which to connect a conduit vessel that bypasses a blockage. The conduit vessel that is often used is the saphenous vein. This vein is harvested using a technique known as 687:
Nazih Zuhdi performed the first total intentional hemodilution open-heart surgery on Terry Gene Nix, age 7, on 25 February 1960 at Mercy Hospital in Oklahoma City. The operation was a success; however, Nix died three years later. In March 1961, Zuhdi, Carey, and Greer performed open-heart surgery on
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Doulamis, Ilias P.; Spartalis, Eleftherios; Machairas, Nikolaos; Schizas, Dimitrios; Patsouras, Dimitrios; Spartalis, Michael; Tsilimigras, Diamantis I.; Moris, Demetrios; Iliopoulos, Dimitrios C.; Tzani, Aspasia; Dimitroulis, Dimitrios (2019). "The role of robotics in cardiac surgery: a systematic
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Open-heart surgery is any kind of surgery in which a surgeon makes a large incision (cut) in the chest to open the rib cage and operate on the heart. "Open" refers to the chest, not the heart. Depending on the type of surgery, the surgeon also may open the heart.
676:, but he abandoned the method after subsequent failures. In 1954, Dr. Lillehei performed a series of successful operations with the controlled cross-circulation technique, in which the patient's mother or father was used as a "heart-lung machine". Dr. 880:
The advancement of cardiac surgery and cardiopulmonary bypass techniques has greatly reduced the mortality rates of these procedures. For instance, repairs of congenital heart defects are currently estimated to have 4–6% mortality rates.
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found that procedures involving opening the patient's heart could be performed better in a bloodless and motionless environment. Therefore, during such surgery, the heart is temporarily stopped, and the patient is placed on
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in London—adopted Souttar's method. All four men began their work independently of one another within a period of a few months. This time, Souttar's technique was widely adopted, with some modifications.
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was the first to use a mechanical pump in a human to bypass the left side of the heart whilst allowing the patient's lungs to oxygenate the blood, in order to operate on the mitral valve. In 1953, Dr.
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Beta-blocking medication is sometimes prescribed during cardiac surgery. There is some low certainty evidence that this perioperative blockade of beta-adrenergic receptors may reduce the incidence of
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used can be taken from several areas of the body. Arteries are typically harvested from the chest, arm, or wrist and then attached to a portion of the coronary artery, relieving pressure and limiting
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Blessberger, Hermann; Lewis, Sharon R.; Pritchard, Michael W.; Fawcett, Lizzy J.; Domanovits, Hans; Schlager, Oliver; Wildner, Brigitte; Kammler, Juergen; Steinwender, Clemens (23 September 2019).
802:(CAD), in which a plaque-like substance builds up in the coronary artery, the main pathway carrying oxygen-rich blood to the heart. This can cause a blockage and/or a rupture, which can lead to a 888:
occurs in 2–3% of all people undergoing cardiac surgery, and the rate is higher in patients with other risk factors for stroke. A more subtle complication attributed to cardiopulmonary bypass is
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prevention approaches may reduce the risk of atrial fibrillation after an operation and reduce the length of hospital stays, however there is no evidence that this improves mortality.
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in cardiac surgery: Complex intracardiac repairs take time, and the patient needs blood flow to the body (particularly to the brain), as well as heart and lung function. In July 1952,
783:(CABG), also called revascularization, is a common surgical procedure to create an alternative path to deliver blood supply to the heart and body, with the goal of preventing 636:, meaning a machine pumps their blood and oxygen. Because the machine cannot function the same way as the heart, surgeons try to minimize the time a patient spends on it. 477:, probably unaware of Sellors's work, used a specially designed dilator in three cases of pulmonary stenosis. Later that year, he designed a punch to resect a stenosed 989:, in patients undergoing elective cardiac surgery and may decrease the length of hospital stay by more than three days on average. There is evidence that quitting 837:
As with any surgical procedure, cardiac surgery requires postoperative precautions to avoid complications. Incision care is needed to avoid infection and minimize
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Stark J; Gallivan S; Lovegrove J; et al. (March 2000). "Mortality rates after surgery for congenital heart defects in children and surgeons' performance".
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symptoms of postperfusion syndrome were initially thought to be permanent, but turned out to be transient, with no permanent neurological impairment.
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In 1945, the Soviet pathologist Nikolai Sinitsyn successfully transplanted a heart from one frog to another frog and from one dog to another dog.
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centres and to indicate whether the units and their individuals surgeons performed within an acceptable range. The results are available on the
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Another important source of complications are the neuropsychological and psychopathologic changes following open-heart surgery. One example is
768:) in Brooklyn, New York, barely three days later. Shumway performed the first adult heart transplant in the United States on 6 January 1968 at 644: 3872: 2585: 2388:
Arsenault, Kyle A; Yusuf, Arif M; Crystal, Eugene; Healey, Jeff S; Morillo, Carlos A; Nair, Girish M; Whitlock, Richard P (31 January 2013).
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Warren, Cliff, Dr. Nazih Zuhdi – His Scientific Work Made All Paths Lead to Oklahoma City, in Distinctly Oklahoma, November 2007, p. 30–33
481:, which is often associated with Tetralogy of Fallot. Many thousands of these "blind" operations were performed until the introduction of 4122: 3798: 3703: 3297: 2639: 1432: 541: 4003: 2056:"Stroke after cardiac surgery and its association with asymptomatic carotid disease: an updated systematic review and meta-analysis" 601: 424:. The patient survived for several years, but Souttar's colleagues considered the procedure unjustified, and he could not continue. 121: 3415: 3461: 1265: 966: 579: 55: 4010: 3817: 899:
In order to assess the performance of surgical units and individual surgeons, a popular risk model has been created called the
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Klitzner TS; Lee M; Rodriguez S; Chang RK (May 2006). "Sex-related disparity in surgical mortality among pediatric patients".
102: 4110: 3807: 3287: 2721: 780: 583: 149: 59: 74: 2253: 4132: 1890: 769: 505: 3633: 2515:"Perioperative beta-blockers for preventing surgery-related mortality and morbidity in adults undergoing cardiac surgery" 4117: 4105: 3986: 3267: 2911: 81: 4232: 3454: 665: 501: 2575: 143: 2891: 2611: 2304:[Nonpsychotic mental disorders in patients with acquired heart defects before and after surgery (review)]. 715: 474: 321: 3757: 2299: 1040:"Kawasaki disease: laboratory findings and an immunopathogenesis on the premise of a "protein homeostasis system"" 572: 397: 48: 4064: 3954: 3708: 3498: 3320: 2259:[Psychological aspects of the rehabilitation of patients after the surgical treatment of heart defects]. 765: 88: 2301:
Nepsikhoticheskie narusheniia psikhiki u bol'nykh s priobretennymi porokami serdtsa do i posle operatsii (obzor)
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Stephenson, Larry W.; Arbulu, Agustin; Bassett, Joseph S.; Silbergleit, Allen; Hughes, Calvin H. (May 2002).
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Open heart surgery: MedlinePlus Medical Encyclopedia. (2 February 2016). Retrieved 15 February 2016, from
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Also in 1948, four surgeons carried out successful operations for mitral valve stenosis resulting from
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Guida, Pietro; Mastro, Florinda; Scrascia, Giuseppe; Whitlock, Richard; Paparella, Domenico (2014).
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procedure by making very small incisions through which a camera and specialized tools are inserted.
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coefficients, attempts to quantify the probability that they will survive to discharge. Within the
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Psikhologicheskie aspekty reabilitatsii bol'nykh posle khirurgicheskogo lecheniia porokov serdtsa
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As an alternative to open-heart surgery, which involves a five- to eight-inch incision in the
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performed the first pediatric heart transplant on 6 December 1967 at Maimonides Hospital (now
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are inserted to drain blood around the heart and lungs. After discharge from the hospital,
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at least four weeks before surgery may reduce the risk of postoperative complications.
950: 908: 893: 861: 729: 669: 454: 427: 417: 345: 1989: 1789:"Robotic Cardiac Surgery: The Future of Gold Standard or An Unnecessary Extravagance?" 1627: 1610: 1341: 1324: 1174: 4245: 4211: 3931: 3550: 3340: 3129: 3124: 2986: 2926: 2829: 2032: 1408: 1391: 934: 815: 529: 509: 493: 435: 409: 389: 377: 341: 264: 2488:"Complications after surgery: Can quitting smoking before surgery reduce the risks?" 2374: 2005: 1876: 1551: 3976: 3405: 3345: 3330: 3156: 2881: 2731: 2716: 2662: 2454: 2405: 937:
in 1978, which is a "cardioprosthetic psychopathological syndrome" associated with
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Cardiopulmonary bypass was developed after surgeons realized the limitations of
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Ruzza, Andrea (2014). "Nonpsychotic mental disorder after open heart surgery".
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Newman M; Kirchner J; Phillips-Bute B; Gaver V; Grocott H; et al. (2001).
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Kilic A, Emani S, Sai-Sudhakar CB, Higgins RS, Whitson BA, et al. (2014).
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CQC website for heart surgery outcomes in the UK for 3 years ending March 2009
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Van Dijk D; Jansen E; Hijman R; Nierich A; Diephuis J; et al. (2002).
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to remove a portion of a patient's mitral valve, while three other doctors—
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Hulzebos, EHJ; Smit Y; Helders PPJM; van Meeteren NLU (14 November 2012).
2327: 2280: 1417: 1182: 404:) became common after the turn of the century. However, operations on the 2871: 2648: 2591: 954: 1651:"Pioneers in Cardiac Surgery: The Mayo-Gibbon Heart-Lung Bypass Machine" 3350: 2810: 2778: 2671: 2331: 990: 942: 736:, although the world's first adult heart transplant was performed by a 586: in this section. Unsourced material may be challenged and removed. 372:. The patient awoke and seemed fine for 24 hours but became ill with a 268: 256: 192: 1510:"Forest Dewey Dodrill: heart surgery pioneer. Michigan Heart, Part II" 1313:: Helen Taussig, M.D. Joyce Baldwin, Walker and Company New York, 1992 1161:
Aris A. (September 1997). "Francisco Romero the first heart surgeon".
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on 29 November 1944, in a one-year-old girl with Tetralogy of Fallot.
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Recovery from open-heart surgery begins with about 48 hours in an
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and inserted a finger in order to palpate and explore the damaged
373: 260: 838: 349: 3450: 2621: 1335:(2). The Journal of The Adventure of Cardiac Surgery: 167–180. 340:(1893). The first surgery on the heart itself was performed by 555: 31: 2494:. IQWiG (Institute for Quality and Efficiency in Health Care) 2486:
Institute for Quality and Efficiency in Health Care (IQWiG).
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A major concern with cardiac surgery is neurological damage.
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https://www.nlm.nih.gov/medlineplus/ency/article/002950.htm
1718:. Doylestown, Pennsylvania. 29 November 1987. p. A–18. 1298:
Lawrence H Cohn (2007), '&Cardiac Surgery in the Adult
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may reduce postoperative pulmonary complications, such as
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Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova
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Cohn, Lawrence H.; Edmunds, L. Henry Jr., eds. (2003).
1730:"What Is Coronary Artery Bypass Grafting? - NHLBI, NIH" 2252:
Bendet, Ya. A.; Morozov, S. M.; Skumin, V. A. (1980).
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in a 24-year-old man who had been stabbed in the left
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in Philadelphia reported the first successful use of
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may be recommended in order to regulate blood flow.
702:, using the total intentional hemodilution machine. 684:
was the first to use a Gibbon-type pump-oxygenator.
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Barnard performed the first transplant on 744:, using techniques developed by Shumway and 449:Cardiac surgery changed significantly after 412:operated successfully on a young woman with 2519:The Cochrane Database of Systematic Reviews 1793:Brazilian Journal of Cardiovascular Surgery 1563: 1561: 1329:European Journal of Cardio-Thoracic Surgery 864:, and oxygen levels are closely monitored. 376:and died three days after the surgery from 3521: 3504:Cardiology diagnostic tests and procedures 3469: 3455: 3447: 2922:Reproductive endocrinology and infertility 2667: 2640: 2626: 2618: 1114:"Donor selection in heart transplantation" 1038:Lee, KY; Rhim, JW; Kang, JH (March 2012). 732:is widely regarded as the father of human 544:conducted the first cardiac surgery under 438:performed the first successful palliative 142: 3600:Transcatheter pulmonary valve replacement 3263:Bachelor of Medicine, Bachelor of Surgery 2546: 2462: 2413: 2194: 2153: 2112: 2071: 1814: 1804: 1626: 1585: 1525: 1439:. University of Minnesota. Archived from 1407: 1340: 1137: 1063: 787:. This can be done in many ways, and the 602:Learn how and when to remove this message 122:Learn how and when to remove this message 3643:shunt from heart chamber to blood vessel 2347:Asian Cardiovascular and Thoracic Annals 1210:Westaby, Stephen; Bosher, Cecil (1998). 1009:in patients undergoing cardiac surgery. 638: 485:made direct surgery on valves possible. 368:upon arrival. Access was through a left 3743:shunt from blood vessel to blood vessel 2443:Cochrane Database of Systematic Reviews 2394:Cochrane Database of Systematic Reviews 1294: 1292: 1278: 1276: 1274: 1030: 1235:Baksaas ST; Solberg S (January 2003). 941:and characterized by irrational fear, 469:and successfully divided the stenosed 215: 133: 27:Type of surgery performed on the heart 3873:Valve-sparing aortic root replacement 3612:enlargement of existing septal defect 1704:(2007). Every Second Counts. Berkley. 1611:"Evolution of Cardiopulmonary Bypass" 7: 3607:production of septal defect in heart 3401: 3162:Physical medicine and rehabilitation 1916:"What to Expect After Heart Surgery" 1667:from the original on 26 October 2020 1199:. U.S. National Library of Medicine. 584:adding citations to reliable sources 60:adding citations to reliable sources 3411: 1570:"Fifty Years of Open-Heart Surgery" 1431:Knatterud, Mary (8 December 2015). 1390:Shumway, Norman E. (January 1996). 1130:10.3978/j.issn.2072-1439.2014.03.23 892:, sometimes called "pumphead". The 234: 202: 3704:transposition of the great vessels 3629:creation of septal defect in heart 3298:Medical Scientist Training Program 1587:10.1161/01.CIR.0000071746.50876.E2 1527:10.1111/j.1540-8191.2002.tb01210.x 1520:(3): 247–257, discussion 258–259. 542:Alexander Alexandrovich Vishnevsky 528:was performed by lead surgeon Dr. 25: 4004:Cardiac resynchronization therapy 2226:"Heart Surgery in United Kingdom" 1628:10.1161/CIRCULATIONAHA.108.830174 4228: 4227: 3430: 3420: 3410: 3400: 3391: 3390: 2605: 2033:10.1111/j.1747-0803.2006.00013.x 1266:Dictionary of National Biography 1237:"Verdens første hjerteoperasjon" 560: 512:in Boston; and Russell Brock of 148:Two cardiac surgeons performing 36: 4011:Left atrial appendage occlusion 3431: 2183:Acquired Cardiovascular Disease 1891:"Heart Surgery | Incision Care" 939:mechanical heart valve implants 781:Coronary artery bypass grafting 776:Coronary artery bypass grafting 712:off-pump coronary artery bypass 571:needs additional citations for 316:The earliest operations on the 287:from various causes, including 277:coronary artery bypass grafting 47:needs additional citations for 3288:Doctor of Osteopathic Medicine 2722:Oral and maxillofacial surgery 2455:10.1002/14651858.CD010118.pub2 2406:10.1002/14651858.cd003611.pub3 1658:Mayo Clinic Proceedings Legacy 1396:The Annals of Thoracic Surgery 1392:"F. John Lewis, MD: 1916–1993" 1197:"Pioneers in Academic Surgery" 540:on 2 September 1952. In 1953, 150:coronary artery bypass surgery 1: 4133:Radionuclide ventriculography 1990:10.1016/S0140-6736(00)90001-1 1342:10.1016/S1010-7940(01)01149-6 1175:10.1016/S0003-4975(97)00760-1 506:Hahnemann University Hospital 408:were unknown until, in 1925, 4118:Myocardial perfusion imaging 3268:Bachelor of Medical Sciences 3035:Neurosurgical anesthesiology 2577:Cardiac surgery in the adult 1806:10.21470/1678-9741-2019-0194 1409:10.1016/0003-4975(95)00768-7 1365:"About Horace G. Smithy, MD" 1311:To Heal the Heart of a Child 1212:Landmarks in Cardiac Surgery 973:Non-pharmacologic approaches 827:robot-assisted heart surgery 770:Stanford University Hospital 706:Modern beating-heart surgery 398:Blalock–Thomas–Taussig shunt 2196:10.1016/j.jtcvs.2014.07.039 2114:10.1056/NEJM200102083440601 2054:Naylor AR, Bown MJ (2011). 1609:Stoney, William S. (2009). 1118:Journal of Thoracic Disease 818:, a surgeon may perform an 795:in that area of the heart. 4268: 3725:for univentricular defect 2073:10.1016/j.ejvs.2011.02.016 1841:Journal of Robotic Surgery 1568:Cohn, Lawrence H. (2003). 1514:Journal of Cardiac Surgery 1323:Murtra M (February 2002). 997:Pharmacological approaches 810:Minimally invasive surgery 716:endoscopic vein harvesting 670:extracorporeal circulation 152:. Note the use of a steel 4225: 4065:Implantable loop recorder 3709:Arterial switch operation 3499:Interventional cardiology 3489: 3386: 2531:10.1002/14651858.CD013435 1853:10.1007/s11701-018-0875-5 1714:"Memories of the Heart". 1268:– Henry Souttar (2004–08) 1056:10.3349/ymj.2012.53.2.262 766:Maimonides Medical Center 235: 203: 141: 4144:Coronary catheterization 3634:Blalock–Hanlon procedure 3595:Mitral valve replacement 3578:Aortic valve replacement 3222:Transplantation medicine 3113:Clinical neurophysiology 3030:Obstetric anesthesiology 2950:Interventional radiology 2710:Digestive system surgery 2359:10.1177/0218492313493427 2300: 2255: 2155:10.1001/jama.287.11.1405 2060:Eur J Vasc Endovasc Surg 2021:Congenital Heart Disease 1437:Lillehei Heart Institute 1214:. Taylor & Francis. 833:Post-surgical procedures 666:Jefferson Medical School 552:Types of cardiac surgery 461:in London operated on a 402:patent ductus arteriosus 281:congenital heart disease 4140:Cardiac catheterization 4082:Electrophysiology study 3982:Radiofrequency ablation 3947:Alcohol septal ablation 3093:Intensive care medicine 3067:Mass gathering medicine 2912:Maternal–fetal medicine 1019:Frank Gerbode (surgeon) 1007:ventricular arrhythmias 917:Care Quality Commission 800:coronary artery disease 538:University of Minnesota 522:congenital heart defect 344:on 4 September 1895 at 293:rheumatic heart disease 4186:Impedance cardiography 3808:Coronary artery bypass 2685:Cardiothoracic surgery 2492:Informed Health Online 2298:Skumin, V. A. (1982). 1895:my.clevelandclinic.org 1762:www.urmc.rochester.edu 1241:Tidsskr Nor Laegeforen 1044:Yonsei Medical Journal 913:cardiothoracic surgery 890:postperfusion syndrome 754:Groote Schuur Hospital 752:on 3 December 1967 at 648: 634:cardiopulmonary bypass 483:cardiopulmonary bypass 444:Johns Hopkins Hospital 324:(1801) in the city of 285:valvular heart disease 273:ischemic heart disease 253:cardiovascular surgery 230:Cardiothoracic surgery 4217:Transcutaneous pacing 4021:Heart transplantation 3942:Ventricular reduction 3758:Blalock–Taussig shunt 3336:Personalized medicine 3195:Reproductive medicine 3120:Occupational medicine 3074:Evolutionary medicine 734:heart transplantation 642: 629:University of Toronto 442:cardiac operation at 414:mitral valve stenosis 400:creation, closure of 330:Dominique Jean Larrey 301:heart transplantation 267:performed by cardiac 4191:Ballistocardiography 3748:systemic circulation 3356:Traditional medicine 3316:Alternative medicine 3183:Addiction psychiatry 2997:Transfusion medicine 2992:Medical microbiology 2907:Gynecologic oncology 2759:Reproductive surgery 2614:at Wikimedia Commons 2287:on 5 September 2017. 1284:A History of Surgery 1282:Harold Ellis (2000) 965:Pharmacological and 580:improve this article 496:of Charlotte used a 338:Daniel Hale Williams 56:improve this article 4070:Cardiac stress test 4048:Electrocardiography 3987:Pacemaker insertion 3734:Kawashima procedure 3698:compound procedures 3573:Aortic valve repair 3546:Mitral valve repair 3378:History of medicine 3361:Veterinary medicine 3168:Preventive medicine 3020:Adolescent medicine 2862:Infectious diseases 1716:Daily Intelligencer 1443:on 14 December 2019 1371:on 30 November 2015 1003:atrial fibrillation 967:non-pharmacological 905:logistic regression 854:intensive care unit 662:John Heysham Gibbon 643:Cardiac surgery at 463:Tetralogy of Fallot 348:in Kristiania, now 299:. It also includes 275:(for example, with 4123:Cardiovascular MRI 4053:Vectorcardiography 3908:Pericardial window 3903:Pericardiocentesis 3844:Drug-eluting stent 3673:Rastelli procedure 3622:Balloon septostomy 3326:Molecular oncology 3283:Doctor of Medicine 3273:Master of Medicine 3190:Radiation oncology 3062:Emergency medicine 3015:Addiction medicine 2982:Clinical chemistry 2977:Clinical pathology 2769:Transplant surgery 2727:Orthopedic surgery 2705:Colorectal surgery 2232:on 5 November 2011 1495:www.texasheart.org 742:Christiaan Barnard 649: 625:Wilfred G. Bigelow 615:Open-heart surgery 534:C. Walton Lillehei 467:pulmonary stenosis 459:Middlesex Hospital 394:aortic coarctation 4239: 4238: 4096:Angiocardiography 4042:Electrophysiology 4029: 4028: 3972:Catheter ablation 3955:Conduction system 3880:LeCompte maneuver 3868:Bentall procedure 3729:Norwood procedure 3719:Senning procedure 3714:Mustard procedure 3617:Atrial septostomy 3568:Valve replacement 3444: 3443: 3278:Master of Surgery 3242: 3241: 3227:Tropical medicine 3173:Prison healthcare 3088:Hospital medicine 3052:Disaster medicine 3042:Aviation medicine 2857:Hospital medicine 2764:Surgical oncology 2749:Pediatric surgery 2743: 2690:Endocrine surgery 2610:Media related to 2587:978-0-07-139129-0 1956:www.nhlbi.nih.gov 1932:on 30 August 2017 1734:www.nhlbi.nih.gov 1621:(21): 2844–2853. 1580:(17): 2168–2170. 1221:978-1-899066-54-4 1163:Ann. Thorac. Surg 870:compression socks 762:Adrian Kantrowitz 740:cardiac surgeon, 612: 611: 604: 536:assisted) at the 508:in Philadelphia; 246: 245: 214: 213: 193:OPS-301 code 132: 131: 124: 106: 71:"Cardiac surgery" 16:(Redirected from 4259: 4231: 4230: 4196:Cardiotocography 4164: 4128:Ventriculography 4101:Echocardiography 4092: 4044: 3960:Maze procedure ( 3957: 3923: 3899: 3852: 3851:Obstacle removal 3839:Bare-metal stent 3835: 3795: 3752:pulmonary artery 3744: 3699: 3684:pulmonary artery 3657:Fontan procedure 3652:pulmonary artery 3644: 3608: 3522: 3471: 3464: 3457: 3448: 3434: 3433: 3424: 3414: 3413: 3404: 3403: 3394: 3393: 3098:Medical genetics 3083:General practice 2960:Nuclear medicine 2835:Gastroenterology 2791:Vascular surgery 2741: 2668: 2642: 2635: 2628: 2619: 2609: 2595: 2594:on 14 June 2016. 2590:. Archived from 2561: 2560: 2550: 2525:(10): CD013435. 2510: 2504: 2503: 2501: 2499: 2483: 2477: 2476: 2466: 2449:(11): CD010118. 2434: 2428: 2427: 2417: 2385: 2379: 2378: 2342: 2336: 2335: 2334:on 29 July 2017. 2330:. Archived from 2295: 2289: 2288: 2283:. Archived from 2249: 2243: 2241: 2239: 2237: 2228:. Archived from 2222: 2216: 2215: 2213: 2211: 2198: 2189:(6): 3049–3057. 2174: 2168: 2167: 2157: 2133: 2127: 2126: 2116: 2092: 2086: 2085: 2075: 2051: 2045: 2044: 2016: 2010: 2009: 1984:(9208): 1004–7. 1973: 1967: 1966: 1964: 1962: 1948: 1942: 1941: 1939: 1937: 1931: 1925:. Archived from 1920: 1912: 1906: 1905: 1903: 1901: 1887: 1881: 1880: 1835: 1829: 1828: 1818: 1808: 1784: 1778: 1772: 1766: 1765: 1754: 1745: 1744: 1742: 1740: 1726: 1720: 1719: 1711: 1705: 1699: 1686: 1683: 1677: 1676: 1674: 1672: 1666: 1655: 1647: 1641: 1640: 1630: 1606: 1600: 1599: 1589: 1565: 1556: 1555: 1529: 1505: 1499: 1498: 1487: 1481: 1480: 1473: 1467: 1466: 1459: 1453: 1452: 1450: 1448: 1428: 1422: 1421: 1411: 1387: 1381: 1380: 1378: 1376: 1361: 1355: 1354: 1344: 1320: 1314: 1308: 1302: 1296: 1287: 1280: 1269: 1263: 1257: 1256: 1232: 1226: 1225: 1207: 1201: 1200: 1193: 1187: 1186: 1158: 1152: 1151: 1141: 1124:(8): 1097–1104. 1109: 1103: 1102: 1100: 1098: 1084: 1078: 1077: 1067: 1035: 979:physical therapy 932: 847:loss of appetite 793:clotting factors 750:Louis Washkansky 722:Heart transplant 701: 700: 696: 693: 645:Gemelli Hospital 607: 600: 596: 593: 587: 564: 556: 546:local anesthesia 364:and was in deep 322:Francisco Romero 239:edit on Wikidata 216: 207:edit on Wikidata 187: 146: 134: 127: 120: 116: 113: 107: 105: 64: 40: 32: 21: 4267: 4266: 4262: 4261: 4260: 4258: 4257: 4256: 4252:Cardiac surgery 4242: 4241: 4240: 4235: 4221: 4200: 4172: 4168:Phonocardiogram 4160: 4090:Cardiac imaging 4088: 4040: 4025: 3953: 3937:Septal myectomy 3927:Cardiomyoplasty 3919: 3913:Pericardiectomy 3895: 3884: 3850: 3831: 3791: 3785:Cardiac vessels 3780: 3774:Glenn procedure 3742: 3697: 3680:right ventricle 3642: 3606: 3528: 3513: 3509:Cardiac imaging 3494:Cardiac surgery 3485: 3475: 3445: 3440: 3382: 3371:Chief physician 3304: 3249: 3238: 3232:Travel medicine 3217:Sports medicine 3200:Sexual medicine 3140:Palliative care 3135:Pain management 3079:Family medicine 3057:Diving medicine 3003: 2931: 2893: 2886: 2802: 2795: 2754:Plastic surgery 2700:General surgery 2680:Cardiac surgery 2661: 2659: 2651: 2646: 2612:Cardiac surgery 2602: 2588: 2573: 2570: 2568:Further reading 2565: 2564: 2512: 2511: 2507: 2497: 2495: 2485: 2484: 2480: 2436: 2435: 2431: 2400:(1): CD003611. 2387: 2386: 2382: 2344: 2343: 2339: 2302: 2297: 2296: 2292: 2257: 2251: 2250: 2246: 2235: 2233: 2224: 2223: 2219: 2209: 2207: 2176: 2175: 2171: 2148:(11): 1405–12. 2135: 2134: 2130: 2094: 2093: 2089: 2053: 2052: 2048: 2018: 2017: 2013: 1975: 1974: 1970: 1960: 1958: 1950: 1949: 1945: 1935: 1933: 1929: 1918: 1914: 1913: 1909: 1899: 1897: 1889: 1888: 1884: 1837: 1836: 1832: 1799:(4): XII–XIII. 1786: 1785: 1781: 1773: 1769: 1756: 1755: 1748: 1738: 1736: 1728: 1727: 1723: 1713: 1712: 1708: 1700: 1689: 1684: 1680: 1670: 1668: 1664: 1653: 1649: 1648: 1644: 1608: 1607: 1603: 1567: 1566: 1559: 1507: 1506: 1502: 1489: 1488: 1484: 1475: 1474: 1470: 1461: 1460: 1456: 1446: 1444: 1430: 1429: 1425: 1389: 1388: 1384: 1374: 1372: 1363: 1362: 1358: 1322: 1321: 1317: 1309: 1305: 1297: 1290: 1281: 1272: 1264: 1260: 1234: 1233: 1229: 1222: 1209: 1208: 1204: 1195: 1194: 1190: 1160: 1159: 1155: 1111: 1110: 1106: 1096: 1094: 1086: 1085: 1081: 1037: 1036: 1032: 1027: 1015: 999: 975: 963: 933:, described by 926: 924:Skumin syndrome 878: 835: 812: 778: 724: 708: 698: 694: 691: 689: 678:John W. Kirklin 672:by means of an 617: 608: 597: 591: 588: 577: 565: 554: 490:rheumatic fever 471:pulmonary valve 388:Surgery on the 386: 358:coronary artery 314: 309: 297:atherosclerosis 249:Cardiac surgery 242: 219:Cardiac surgery 210: 183: 157: 137:Cardiac surgery 128: 117: 111: 108: 65: 63: 53: 41: 28: 23: 22: 18:Cardiac Surgery 15: 12: 11: 5: 4265: 4263: 4255: 4254: 4244: 4243: 4237: 4236: 4226: 4223: 4222: 4220: 4219: 4214: 4208: 4206: 4202: 4201: 4199: 4198: 4193: 4188: 4182: 4180: 4178:Function tests 4174: 4173: 4171: 4170: 4165: 4157: 4156: 4151: 4146: 4137: 4136: 4135: 4125: 4120: 4115: 4114: 4113: 4108: 4098: 4093: 4085: 4084: 4079: 4078: 4077: 4075:Bruce protocol 4067: 4062: 4060:Holter monitor 4057: 4056: 4055: 4045: 4037: 4035: 4031: 4030: 4027: 4026: 4024: 4023: 4018: 4013: 4007: 4006: 4001: 3995: 3989: 3984: 3979: 3974: 3969: 3958: 3950: 3949: 3944: 3939: 3934: 3929: 3924: 3916: 3915: 3910: 3905: 3900: 3892: 3890: 3886: 3885: 3883: 3882: 3876: 3875: 3870: 3864: 3863: 3858: 3856:Endarterectomy 3853: 3847: 3846: 3841: 3836: 3833:Coronary stent 3828: 3827: 3826: 3825: 3820: 3815: 3801: 3796: 3788: 3786: 3782: 3781: 3779: 3778: 3777: 3776: 3762: 3761: 3760: 3745: 3739: 3738: 3737: 3736: 3731: 3723: 3722: 3721: 3716: 3711: 3700: 3694: 3693: 3692: 3691: 3677: 3676: 3675: 3664:left ventricle 3661: 3660: 3659: 3645: 3639: 3638: 3637: 3636: 3626: 3625: 3624: 3619: 3609: 3603: 3602: 3597: 3592: 3591: 3590: 3585: 3583:Ross procedure 3575: 3570: 3565: 3564: 3563: 3558: 3548: 3543: 3538: 3532: 3530: 3519: 3515: 3514: 3512: 3511: 3506: 3501: 3496: 3490: 3487: 3486: 3481:involving the 3476: 3474: 3473: 3466: 3459: 3451: 3442: 3441: 3439: 3438: 3428: 3418: 3408: 3398: 3387: 3384: 3383: 3381: 3380: 3375: 3374: 3373: 3363: 3358: 3353: 3348: 3343: 3338: 3333: 3328: 3323: 3318: 3312: 3310: 3309:Related topics 3306: 3305: 3303: 3302: 3301: 3300: 3290: 3285: 3280: 3275: 3270: 3265: 3260: 3258:Medical school 3254: 3252: 3244: 3243: 3240: 3239: 3237: 3236: 3235: 3234: 3224: 3219: 3214: 3212:Sleep medicine 3209: 3208: 3207: 3197: 3192: 3187: 3186: 3185: 3175: 3170: 3165: 3159: 3154: 3153: 3152: 3142: 3137: 3132: 3127: 3122: 3117: 3116: 3115: 3105: 3100: 3095: 3090: 3085: 3076: 3071: 3070: 3069: 3059: 3054: 3049: 3044: 3039: 3038: 3037: 3032: 3025:Anesthesiology 3022: 3017: 3011: 3009: 3005: 3004: 3002: 3001: 3000: 2999: 2994: 2989: 2984: 2979: 2974: 2964: 2963: 2962: 2957: 2955:Neuroradiology 2952: 2941: 2939: 2933: 2932: 2930: 2929: 2924: 2919: 2914: 2909: 2904: 2898: 2896: 2892:Obstetrics and 2888: 2887: 2885: 2884: 2879: 2874: 2869: 2864: 2859: 2854: 2849: 2844: 2843: 2842: 2832: 2827: 2822: 2817: 2807: 2805: 2797: 2796: 2794: 2793: 2788: 2787: 2786: 2776: 2774:Trauma surgery 2771: 2766: 2761: 2756: 2751: 2746: 2745: 2744: 2737:Otolaryngology 2734: 2729: 2724: 2719: 2714: 2713: 2712: 2707: 2697: 2692: 2687: 2682: 2676: 2674: 2665: 2663:subspecialties 2653: 2652: 2647: 2645: 2644: 2637: 2630: 2622: 2616: 2615: 2601: 2600:External links 2598: 2597: 2596: 2586: 2569: 2566: 2563: 2562: 2505: 2478: 2429: 2380: 2337: 2290: 2244: 2217: 2169: 2128: 2107:(6): 395–402. 2087: 2046: 2011: 1968: 1943: 1907: 1882: 1830: 1779: 1767: 1746: 1721: 1706: 1687: 1678: 1642: 1601: 1557: 1500: 1482: 1468: 1454: 1423: 1402:(1): 250–251. 1382: 1356: 1315: 1303: 1288: 1270: 1258: 1247:(2): 202–204. 1227: 1220: 1202: 1188: 1169:(3): 870–871. 1153: 1104: 1079: 1029: 1028: 1026: 1023: 1022: 1021: 1014: 1011: 998: 995: 974: 971: 962: 961:Risk reduction 959: 951:sleep disorder 909:United Kingdom 894:neurocognitive 877: 874: 862:blood pressure 834: 831: 811: 808: 785:clot formation 777: 774: 730:Norman Shumway 723: 720: 707: 704: 688:a child, aged 657:Forest Dodrill 616: 613: 610: 609: 568: 566: 559: 553: 550: 514:Guy's Hospital 502:Charles Bailey 455:Thomas Sellors 428:Alfred Blalock 385: 382: 346:Rikshospitalet 313: 310: 308: 305: 283:; or to treat 279:); to correct 244: 243: 236: 233: 232: 227: 221: 220: 212: 211: 204: 201: 200: 195: 189: 188: 181: 175: 174: 165: 159: 158: 147: 139: 138: 130: 129: 44: 42: 35: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4264: 4253: 4250: 4249: 4247: 4234: 4224: 4218: 4215: 4213: 4212:Cardioversion 4210: 4209: 4207: 4203: 4197: 4194: 4192: 4189: 4187: 4184: 4183: 4181: 4179: 4175: 4169: 4166: 4163: 4159: 4158: 4155: 4152: 4150: 4147: 4145: 4141: 4138: 4134: 4131: 4130: 4129: 4126: 4124: 4121: 4119: 4116: 4112: 4109: 4107: 4104: 4103: 4102: 4099: 4097: 4094: 4091: 4087: 4086: 4083: 4080: 4076: 4073: 4072: 4071: 4068: 4066: 4063: 4061: 4058: 4054: 4051: 4050: 4049: 4046: 4043: 4039: 4038: 4036: 4032: 4022: 4019: 4017: 4014: 4012: 4009: 4008: 4005: 4002: 3999: 3996: 3993: 3990: 3988: 3985: 3983: 3980: 3978: 3975: 3973: 3970: 3967: 3963: 3959: 3956: 3952: 3951: 3948: 3945: 3943: 3940: 3938: 3935: 3933: 3932:Dor procedure 3930: 3928: 3925: 3922: 3918: 3917: 3914: 3911: 3909: 3906: 3904: 3901: 3898: 3894: 3893: 3891: 3887: 3881: 3878: 3877: 3874: 3871: 3869: 3866: 3865: 3862: 3859: 3857: 3854: 3849: 3848: 3845: 3842: 3840: 3837: 3834: 3830: 3829: 3824: 3821: 3819: 3816: 3814: 3811: 3810: 3809: 3805: 3802: 3800: 3797: 3794: 3790: 3789: 3787: 3783: 3775: 3772: 3771: 3770: 3767:to the right 3766: 3763: 3759: 3756: 3755: 3753: 3749: 3746: 3741: 3740: 3735: 3732: 3730: 3727: 3726: 3724: 3720: 3717: 3715: 3712: 3710: 3707: 3706: 3705: 3701: 3696: 3695: 3690: 3687: 3686: 3685: 3681: 3678: 3674: 3671: 3670: 3669: 3665: 3662: 3658: 3655: 3654: 3653: 3649: 3646: 3641: 3640: 3635: 3632: 3631: 3630: 3627: 3623: 3620: 3618: 3615: 3614: 3613: 3610: 3605: 3604: 3601: 3598: 3596: 3593: 3589: 3588:Transcatheter 3586: 3584: 3581: 3580: 3579: 3576: 3574: 3571: 3569: 3566: 3562: 3559: 3557: 3554: 3553: 3552: 3551:Valvuloplasty 3549: 3547: 3544: 3542: 3539: 3537: 3534: 3533: 3531: 3527: 3523: 3520: 3516: 3510: 3507: 3505: 3502: 3500: 3497: 3495: 3492: 3491: 3488: 3484: 3480: 3472: 3467: 3465: 3460: 3458: 3453: 3452: 3449: 3437: 3429: 3427: 3423: 3419: 3417: 3409: 3407: 3399: 3397: 3389: 3388: 3385: 3379: 3376: 3372: 3369: 3368: 3367: 3364: 3362: 3359: 3357: 3354: 3352: 3349: 3347: 3344: 3342: 3341:Public health 3339: 3337: 3334: 3332: 3329: 3327: 3324: 3322: 3321:Allied health 3319: 3317: 3314: 3313: 3311: 3307: 3299: 3296: 3295: 3294: 3291: 3289: 3286: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3264: 3261: 3259: 3256: 3255: 3253: 3251: 3245: 3233: 3230: 3229: 3228: 3225: 3223: 3220: 3218: 3215: 3213: 3210: 3206: 3203: 3202: 3201: 3198: 3196: 3193: 3191: 3188: 3184: 3181: 3180: 3179: 3176: 3174: 3171: 3169: 3166: 3163: 3160: 3158: 3155: 3151: 3148: 3147: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3130:Oral medicine 3128: 3126: 3125:Ophthalmology 3123: 3121: 3118: 3114: 3111: 3110: 3109: 3106: 3104: 3101: 3099: 3096: 3094: 3091: 3089: 3086: 3084: 3080: 3077: 3075: 3072: 3068: 3065: 3064: 3063: 3060: 3058: 3055: 3053: 3050: 3048: 3045: 3043: 3040: 3036: 3033: 3031: 3028: 3027: 3026: 3023: 3021: 3018: 3016: 3013: 3012: 3010: 3006: 2998: 2995: 2993: 2990: 2988: 2987:Cytopathology 2985: 2983: 2980: 2978: 2975: 2973: 2970: 2969: 2968: 2965: 2961: 2958: 2956: 2953: 2951: 2948: 2947: 2946: 2943: 2942: 2940: 2938: 2934: 2928: 2927:Urogynecology 2925: 2923: 2920: 2918: 2915: 2913: 2910: 2908: 2905: 2903: 2900: 2899: 2897: 2895: 2889: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2848: 2845: 2841: 2838: 2837: 2836: 2833: 2831: 2830:Endocrinology 2828: 2826: 2823: 2821: 2818: 2816: 2812: 2809: 2808: 2806: 2804: 2798: 2792: 2789: 2785: 2782: 2781: 2780: 2777: 2775: 2772: 2770: 2767: 2765: 2762: 2760: 2757: 2755: 2752: 2750: 2747: 2740: 2739: 2738: 2735: 2733: 2730: 2728: 2725: 2723: 2720: 2718: 2715: 2711: 2708: 2706: 2703: 2702: 2701: 2698: 2696: 2693: 2691: 2688: 2686: 2683: 2681: 2678: 2677: 2675: 2673: 2669: 2666: 2664: 2658: 2654: 2650: 2643: 2638: 2636: 2631: 2629: 2624: 2623: 2620: 2613: 2608: 2604: 2603: 2599: 2593: 2589: 2583: 2579: 2578: 2572: 2571: 2567: 2558: 2554: 2549: 2544: 2540: 2536: 2532: 2528: 2524: 2520: 2516: 2509: 2506: 2493: 2489: 2482: 2479: 2474: 2470: 2465: 2460: 2456: 2452: 2448: 2444: 2440: 2433: 2430: 2425: 2421: 2416: 2411: 2407: 2403: 2399: 2395: 2391: 2384: 2381: 2376: 2372: 2368: 2364: 2360: 2356: 2352: 2348: 2341: 2338: 2333: 2329: 2325: 2321: 2317: 2314:(11): 130–5. 2313: 2309: 2308: 2303: 2294: 2291: 2286: 2282: 2278: 2274: 2270: 2266: 2262: 2258: 2248: 2245: 2231: 2227: 2221: 2218: 2206: 2202: 2197: 2192: 2188: 2184: 2180: 2173: 2170: 2165: 2161: 2156: 2151: 2147: 2143: 2139: 2132: 2129: 2124: 2120: 2115: 2110: 2106: 2102: 2098: 2091: 2088: 2083: 2079: 2074: 2069: 2066:(5): 607–24. 2065: 2061: 2057: 2050: 2047: 2042: 2038: 2034: 2030: 2026: 2022: 2015: 2012: 2007: 2003: 1999: 1995: 1991: 1987: 1983: 1979: 1972: 1969: 1957: 1953: 1947: 1944: 1928: 1924: 1917: 1911: 1908: 1896: 1892: 1886: 1883: 1878: 1874: 1870: 1866: 1862: 1858: 1854: 1850: 1846: 1842: 1834: 1831: 1826: 1822: 1817: 1812: 1807: 1802: 1798: 1794: 1790: 1783: 1780: 1777: 1771: 1768: 1763: 1759: 1753: 1751: 1747: 1735: 1731: 1725: 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977:Preoperative 972: 970: 968: 960: 958: 956: 952: 948: 944: 940: 936: 935:Victor Skumin 930: 925: 920: 918: 914: 910: 906: 902: 897: 895: 891: 887: 882: 875: 873: 871: 867: 863: 859: 855: 850: 848: 844: 840: 832: 830: 828: 823: 821: 817: 809: 807: 805: 801: 796: 794: 790: 786: 782: 775: 773: 771: 767: 763: 759: 755: 751: 747: 746:Richard Lower 743: 739: 738:South African 735: 731: 727: 721: 719: 717: 713: 705: 703: 685: 683: 679: 675: 671: 667: 663: 658: 654: 646: 641: 637: 635: 630: 626: 621: 614: 606: 603: 595: 585: 581: 575: 574: 569:This section 567: 563: 558: 557: 551: 549: 547: 543: 539: 535: 531: 530:F. 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