Knowledge

Cardiothoracic surgery

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disease were performed by Alfred Blalock with the assistance of William Longmire, Denton Cooley, and Blalock's experienced technician, Vivien Thomas in 1944 at Johns Hopkins Hospital. Techniques for repair of congenital heart defects without the use of a bypass machine were developed in the late 1940s and early 1950s. Among them was an open repair of an atrial septal defect using hypothermia, inflow occlusion and direct vision in a 5-year-old child performed in 1952 by Lewis and Tauffe. C. Walter Lillihei used cross-circulation between a boy and his father to maintain perfusion while performing a direct repair of a ventricular septal defect in a 4-year-old child in 1954. He continued to use cross-circulation and performed the first corrections of tetralogy of Fallot and presented those results in 1955 at the American Surgical Association. In the long-run, pediatric cardiovascular surgery would rely on the cardiopulmonary bypass machine developed by Gibbon and Lillehei as noted above.
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program, in addition to passing rigorous board certification tests. Two other pathways to shorten the duration of training have been developed: (1) a combined general-thoracic surgery residency consisting of four years of general surgery training and three years of cardiothoracic training at the same institution and (2) an integrated six-year cardiothoracic residency (in place of the general surgery residency plus cardiothoracic residency), which have each been established at many programs (over 20). Applicants match into the integrated six-year (I-6) programs directly out of medical school, and the application process has been extremely competitive for these positions as there were approximately 160 applicants for 10 spots in the U.S. in 2010. As of May 2013, there are 20 approved programs, which include the following:
434: 609: 333:. Typically, this is followed by a fellowship in either Adult Cardiac Surgery, Heart Failure/Transplant, Minimally Invasive Cardiac Surgery, Aortic Surgery, Thoracic Surgery, Pediatric Cardiac Surgery or Cardiac ICU. Contemporary Canadian candidates completing general surgery and wishing to pursue cardiac surgery often complete a cardiothoracic surgery fellowship in the United States. The Royal College of Physicians and Surgeons of Canada also provides a three-year cardiac surgery fellowship for qualified general surgeons that is offered at several training sites including the 1094:. This takes a number of health factors from a patient and using precalculated logistic regression coefficients attempts to give a percentage chance of survival to discharge. Within the UK this EuroSCORE was used to give a breakdown of all the centres for cardiothoracic surgery and to give some indication of whether the units and their individuals surgeons performed within an acceptable range. The results are available on the CQC website. The precise methodology used has however not been published to date nor has the raw data on which the results are based. 304:(FRACS), denoting that they are qualified specialists. Trainees having completed a training program in General Surgery and have obtained their FRACS will have the option to complete fellowship training in Cardiothoracic Surgery of four years in duration, subject to college approval. It takes around eight to ten years minimum of post-graduate (post-medical school) training to qualify as a cardiothoracic surgeon. Competition for training places and for public (teaching) hospital places is very high currently, leading to concerns regarding 4587: 3750: 3780: 3790: 3770: 3760: 1049:. This is where a machine is used to perform surgery while being controlled by the heart surgeon. The main advantage to this is the size of the incision made in the patient. Instead of an incision being at least big enough for the surgeon to put his hands inside, it does not have to be bigger than 3 small holes for the robot's much smaller "hands" to get through. 800:. He made an opening in the appendage of the left atrium and inserted a finger into this chamber in order to palpate and explore the damaged mitral valve. The patient survived for several years but Souttar's physician colleagues at that time decided the procedure was not justified and he could not continue. 320:
completed general surgery followed by a fellowship in CV / CT / CVT. During the 1990s, the Canadian cardiac surgery training programs changed to six-year "direct-entry" programs following medical school. The direct-entry format provides residents with experience related to cardiac surgery they would
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performed the first total intentional hemodilution open heart surgery on Terry Gene Nix, age 7, on February 25, 1960, at Mercy Hospital, Oklahoma City, OK. The operation was a success; however, Nix died three years later in 1963. In March, 1961, Zuhdi, Carey, and Greer, performed open heart surgery
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The highly competitive Surgical Education and Training (SET) program in Cardiothoracic Surgery is six years in duration, usually commencing several years after completing medical school. Training is administered and supervised via a bi-national (Australia and New Zealand) training program. Multiple
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offers a special pathway certificate in congenital cardiac surgery which typically requires an additional year of fellowship. This formal certificate is unique because congenital cardiac surgeons in other countries do not have formal evaluation and recognition of pediatric training by a licensing
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The development of cardiac surgery and cardiopulmonary bypass techniques has reduced the mortality rates of these surgeries to relatively low ranks. For instance, repairs of congenital heart defects are currently estimated to have 4–6% mortality rates. A major concern with cardiac surgery is the
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Pediatric cardiovascular surgery is surgery of the heart of children. The first operations to repair cardio-vascular defects in children were performed by Clarence Crafoord in Sweden when he repaired coarctation of the aorta in a 12-year-old boy. The first attempts to palliate congenital heart
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The National Emphysema Treatment Trial (NETT) was a large multicentre study (N = 1218) comparing LVRS with non-surgical treatment. Results suggested that there was no overall survival advantage in the LVRS group, except for mainly upper-lobe emphysema + poor exercise capacity, and significant
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residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years). The cardiothoracic surgery fellowship typically spans two or three years, but certification is based on the number of surgeries performed as the operating surgeon, not the time spent in the
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that are particularly damaged by emphysema are removed, allowing the remaining, relatively good lung to expand and work more efficiently. The beneficial effects are correlated with the achieved reduction in residual volume. Conventional LVRS involves
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A prolonged air leak (PAL) can occur in 8–25% of people following lung cancer surgery. This complication delays chest tube removal and is associated with an increased length of hospital stay following a lung resection (lung cancer surgery). The use of
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Infection represents the primary non-cardiac complication from cardiothoracic surgery. Infections can include mediastinitis, infectious myo- or pericarditis, endocarditis, cardiac device infection, pneumonia, empyema, and bloodstream infections.
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Hopkins, P. M.; Seale, H.; Walsh, J.; Tam, R.; Kermeen, F.; Bell, S.; McNeil, K. (1 February 2006). "51: Long term results post conventional lung volume reduction surgery exceeds outcome of lung transplantation for emphysema".
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that the repair of intracardiac pathologies was better done with a bloodless and motionless environment, which means that the heart should be stopped and drained of blood. The first successful intracardiac correction of a
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In people who have a predominantly upper lobe emphysema, lung volume reduction surgery could result in better health status and lung function, though it also increases the risk of early mortality and adverse events.
1006:, using the total intentional hemodilution machine. In 1985 Zuhdi performed Oklahoma's first successful heart transplant on Nancy Rogers at Baptist Hospital. The transplant was successful, but Rogers, who had 776:) became common after the turn of the century and falls in the domain of cardiac surgery, but technically cannot be considered heart surgery. One of the more commonly known cardiac surgery procedures is the 300:
examinations take place throughout the course of training, culminating in a final fellowship exam in the final year of training. Upon completion of training, surgeons are awarded a Fellowship of the
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all adopted Souttar's method. All these men started work independently of each other, within a few months. This time Souttar's technique was widely adopted although there were modifications.
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Stark J, Gallivan S, Lovegrove J, Hamilton JR, Monro JL, Pollock JC, Watterson KG (2000). "Mortality rates after surgery for congenital heart defects in children and surgeons' performance".
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typically comprises anywhere from four to six years (or longer) of training to become a fully qualified surgeon. Cardiac surgery training may be combined with thoracic surgery and/or
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Lillehei CW, Cohen M, Warden HE; et al. (1955). "The results of direct vision closure of ventricular septal defects in eight patients by means of controlled cross circulation".
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may reduce the incidence of prolonged air leaks, however, this intervention alone has not been shown to results in a decreased length of hospital stay following lung cancer surgery.
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in Rochester, Minnesota started using a Gibbon type pump-oxygenator in a series of successful operations, and was soon followed by surgeons in various parts of the world.
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Van Dijk D; Jansen E; Hijman R; Nierich A; et al. (2002). "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial".
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and called cardiovascular (CV) / cardiothoracic (CT) / cardiovascular thoracic (CVT) surgery. Cardiac surgeons may enter a cardiac surgery residency directly from
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Surgeons realized the limitations of hypothermia – complex intracardiac repairs take more time and the patient needs blood flow to the body, particularly to the
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Open heart surgery is a procedure in which the patient's heart is opened and surgery is performed on the internal structures of the heart. It was discovered by
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There is weak evidence to indicate that participation in exercise programs before lung cancer surgery may reduce the risk of complications after surgery.
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Klitzner, Thomas S.; Lee, Maggie; Rodriguez, Sandra; Chang, Ruey-Kang R. (2006). "Sex-related Disparity in Surgical Mortality among Pediatric Patients".
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or who have inadequate pulmonary reserve would be unlikely to survive. Even with careful selection, the overall operative death rate is about 4.4%.
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Blalock A, Taussig HB (1948). "The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia".
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Knowledge: Coarctation of the Aorta. Coarctation is not cardiac (i.e., heart) but is a narrowing of the aorta, a great vessel near the heart
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Ford C., McCormick D., Parkosewich J., et al. Safety and effectiveness of early oral hydration in patients after cardiothoracic surgery.
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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
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improvements were seen in exercise capacity in the LVRS group. Later studies have shown a wider scope of treatment with better outcomes.
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occurs in 5% of all people undergoing cardiac surgery, and is higher in patients at risk for stroke. A more subtle constellation of
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at Jefferson Medical School in Philadelphia reported in 1953 the first successful use of extracorporeal circulation by means of an
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First successful cardiac operation in a human, 1896: a documentation: the life, the times, and the work of Ludwig Rehn (1849–1930)
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and called cardiothoracic surgery or thoracic surgery. A cardiothoracic surgeon in the U.S. is a physician who first completes a
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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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Shah, Pallav L.; Weder, Walter; Kemp, Samuel V.; Herth, Felix J.; Slebos, Dirk-Jan; Geffen, Wouter H. van (7 February 2019).
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Post operative patients of cardiothoracic surgery are at risk of nausea, vomiting, dysphagia and aspiration pneumonia.
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on the third postoperative day. The first successful surgery of the heart, performed without any complications, was by
581: 2026: 4361: 1493: 1211: 538: 283:. Cardiac surgeons may further sub-specialize cardiac surgery by doing a fellowship in a variety of topics including 3819: 1571: 1397: 1222: 2027:"Surgical and endoscopic interventions that reduce lung volume for emphysema: a systemic review and meta-analysis" 4368: 4175: 1745: 824: 549: 433: 4614: 4468: 4165: 3773: 3645: 3079: 777: 614: 509: 361: 338: 116: 17: 1125:. In case of pneumothorax, only the apical and the diaphragmatic portions of the parietal pleura are removed. 4696: 4490: 1955: 421: 2080:
Fishman, A; Martinez, F; Naunheim, K; Piantadosi, S; Wise, R; Ries, A; Weinmann, G; Wood, DE (22 May 2003).
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Some researchers believe that the off-pump approach results in fewer post-operative complications, such as
1027: 461: 1203:, location and cell type are important limiting factors. In addition, people who are very ill with a poor 4590: 3812: 3269: 832: 403: 329:, cardiac catheterization etc.). Residents in this program will also spend time training in thoracic and 3249: 1318: 682: 488: 2082:"A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema" 4706: 4607: 4422: 4312: 4115: 4066: 3856: 3678: 2868:"Thoracoscopic lobectomy: report on safety, discharge independence, pain, and chemotherapy tolerance" 2727:
Belda-Sanchís, José; Serra-Mitjans, Mireia; Iglesias Sentis, Manuela; Rami, Ramon (20 January 2010).
2319:"Risk factors for 30-day mortality after resection of lung cancer and prediction of their magnitude" 4701: 4501: 4485: 3952: 3935: 3470: 3392: 3387: 3307: 3067: 2872: 2729:"Surgical sealant for preventing air leaks after pulmonary resections in patients with lung cancer" 2270:"Bronchoscopic lung volume reduction in chronic obstructive pulmonary disease:History and progress" 1184:
LVRS is used widely in Europe, though its application in the United States is mostly experimental.
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Lung volume reduction surgery, or LVRS, can improve the quality of life for certain patients with
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Thoracic surgery is its own separate 2–3 year fellowship of general or cardiac surgery in Canada.
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Crafoord C, Nyhlin G (1945). "Congenital coarctation of the aorta and its surgical management".
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Possible complications of LVRS include prolonged air leak (mean duration post surgery until all
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Novoa, Nuria M.; Jiménez, Marcelo F.; Varela, Gonzalo (2017). "When to Remove a Chest Tube".
1783: 1726: 1250: 914: 863: 769: 686: 415: 367: 355: 342: 334: 288: 280: 2672:"Management of chest tubes after pulmonary resection: a systematic review and meta-analysis" 2440: 4670: 4548: 4105: 3918: 3913: 3804: 3713: 3673: 3540: 3354: 3349: 3329: 3264: 3116: 1840:"Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients" 718: 694: 409: 373: 264: 75: 8: 4427: 4405: 4091: 3930: 3903: 3793: 3735: 3718: 3377: 3094: 1995: 1881:"Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery" 1837: 1147: 966: 886:, probably unaware of Sellor's work, used a specially designed dilator in three cases of 726: 714: 482: 466: 397: 4599: 2630: 681:(the sac that surrounds the heart) took place in the 19th century and were performed by 379: 291:, adult-acquired heart disease, weak heart issues, and many more problems in the heart. 4410: 4323: 4319: 4265: 4260: 4201: 4122: 4030: 3979: 3893: 3683: 3640: 3630: 3419: 3372: 3339: 3334: 3084: 3062: 2818: 2785: 2761: 2728: 2704: 2671: 2647: 2614: 2590: 2555: 2488: 2455: 2343: 2318: 2294: 2269: 2226: 2201: 2149: 2122: 2062: 1771: 1204: 1163: 974: 927: 910: 887: 875: 867: 765: 554: 326: 305: 161: 110: 2042: 1856: 1839: 1759: 1668: 1440: 4453: 4399: 4329: 4237: 4225: 4086: 4076: 4071: 3974: 3925: 3836: 3779: 3753: 3635: 3605: 3584: 3547: 3530: 3445: 3409: 3399: 3294: 3214: 3158: 3121: 3106: 3047: 3014: 2983: 2934: 2891: 2846: 2823: 2805: 2766: 2748: 2709: 2691: 2652: 2634: 2595: 2577: 2536: 2528: 2493: 2475: 2432: 2396: 2387: 2348: 2299: 2231: 2154: 2103: 2054: 2046: 1937: 1902: 1861: 1838:
Jan Bucerius; Jan F. Gummert; Michael A. Borger; Thomas Walther; et al. (2003).
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colitis can also develop when prophylactic or post-operative antibiotics are used.
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Torres, Maria Fs; PorfĂ­rio, Gustavo Jm; Carvalho, Alan Pv; Riera, Rachel (2019).
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Coughlin, Shaun M.; Emmerton-Coughlin, Heather M. A.; Malthaner, Richard (2012).
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for patients in end stage COPD due to underlying emphysema, and can improve lung
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Segmentectomy (removal of an anatomic division of a particular lobe of the lung)
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CQC website for heart surgery outcomes in the UK for 3 years ending March 2009
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Medical specialty involved in surgical treatment of organs inside the thorax
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Integrated six-year Cardiothoracic Surgery programs in the United States:
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van Agteren, JE; Carson, KV; Tiong, LU; Smith, BJ (14 October 2016).
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Dr. Nazih Zuhdi, the Legendary Heart Surgeon, The Oklahoman, Jan 2010
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Newman M; Kirchner J; Phillips-Bute B; Gaver V; et al. (2001).
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International Society for Minimally Invasive Cardiothoracic Surgery
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Colice, GL; Shafazand S; Griffin JP; et al. (September 2007).
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Kronemyer, Bob (February 2018). "Four COPD Treatments to Watch".
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following lung cancer surgery to reduce pulmonary complications.
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Nicastri DG, Wisnivesky JP, Litle VR, et al. (March 2008).
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lung (aim is for 20–30%). This is a surgical option involving a
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type, when other treatment options are not enough. Parts of the
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Landmarks in Cardiac Surgery by Stephen Westaby, Cecil Bosher,
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Pioneers in Academic Surgery, U.S. National Library of Medicine
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Caviezel, C; Schneiter, D; Opitz, I; Weder, W (August 2018).
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Lawrence H Cohn (2007), Cardiac Surgery in the Adult, page 6+
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Aris A (1997). "Francisco Romero, the first heart surgeon".
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exceeds 2 litres or 80% of predicted, the person is fit for
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A pleurectomy is a surgical procedures in which part of the
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A new form of heart surgery that has grown in popularity is
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Two cardiac surgeons performing a cardiac surgery known as
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Strand, TE; Rostad H; Damhuis RA; Norstein J (June 2007).
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of the most severely affected areas of emphysematous, non-
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Sublobar resection (removal of part of lobe of the lung)
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University of Texas Health Science Center at San Antonio
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exceeds 1.5 litres, the patient is fit for lobectomy.
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in a 24-year-old man who had been stabbed in the left
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is removed. It is sometimes used in the treatment of
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In most countries, cardiothoracic surgery is further
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Harold Ellis (2000) A History of Surgery, page 223+
1199:Not all lung cancers are suitable for surgery. The 1052: 2510: 2395: 2024: 957:. The patient needs the function of the heart and 890:. Later in 1948 he designed a punch to resect the 2612: 1018:Since the 1990s, surgeons have begun to perform " 961:provided by an artificial method, hence the term 4688: 2454:Cavalheri, Vinicius; Granger, Catherine (2017). 2453: 1128: 1010:, died from an infection 54 days after surgery. 2613:Pompili, Cecilia; Miserocchi, Giuseppe (2016). 2553: 1013: 321:not receive in a general surgery program (e.g. 1333:Journal of Thoracic and Cardiovascular Surgery 4615: 3820: 2991: 2175:The Journal of Heart and Lung Transplantation 1256:There is no strong evidence to support using 1040: 44:Cardiothoracic surgeon performs an operation. 2908: 2840: 1788:: CS1 maint: multiple names: authors list ( 1731:: CS1 maint: multiple names: authors list ( 1187:A less invasive treatment is available as a 803:Cardiac surgery changed significantly after 796:operated successfully on a young woman with 294: 2790:The Cochrane Database of Systematic Reviews 2733:The Cochrane Database of Systematic Reviews 2554:Baringer, Kristina; Talbert, Steve (2017). 2460:The Cochrane Database of Systematic Reviews 2206:The Cochrane Database of Systematic Reviews 1984:2020;29(4):292–300. doi:10.4037/ajcc2020841 1326:European Journal of Cardio-Thoracic Surgery 1061: 819:(1914–1948) revived an operation due to Dr 473:University of North Carolina at Chapel Hill 176:— generally treatment of conditions of the 4622: 4608: 3862:Cardiology diagnostic tests and procedures 3827: 3813: 3280:Reproductive endocrinology and infertility 2998: 2984: 2274:Journal of Translational Internal Medicice 1258:non-invasive positive pressure ventilation 946:conducted the first cardiac surgery under 938:on September 2, 1952. The following year, 607: 3958:Transcatheter pulmonary valve replacement 3621:Bachelor of Medicine, Bachelor of Surgery 2966:American Association for Thoracic Surgery 2928: 2885: 2817: 2760: 2703: 2646: 2589: 2571: 2487: 2342: 2293: 2248: 2225: 2148: 2138: 2097: 1896: 1855: 1522: 827:using a punch to remove a portion of the 753:, who repaired a stab wound to the right 129:Bachelor of Medicine, Bachelor of Surgery 123:Bachelor of Medicine, Bachelor of Surgery 4001:shunt from heart chamber to blood vessel 2365: 2359: 2267: 1831: 1584: 1582: 1580: 1507:"Tidsskrift for den Norske Legeforening" 1376:"Thoracic Surgery Specialty Description" 729:upon arrival. Access was through a left 432: 4101:shunt from blood vessel to blood vessel 1913: 1596: 1594: 1562:. Baltimore: Johns Hopkins Press. p. 5. 1511:Tidsskrift for den Norske Laegeforening 784:Early approaches to heart malformations 14: 4689: 2404: 2310: 1872: 1426: 1194: 878:and successfully divided the stenosed 302:Royal Australasian College of Surgeons 4603: 4231:Valve-sparing aortic root replacement 3970:enlargement of existing septal defect 3808: 2979: 1577: 1560:History of Cardiac Surgery, 1896–1955 1504: 1364:from the original on 23 January 2012. 904: 520:University of California, Los Angeles 4655:Video-assisted thoracoscopic surgery 3965:production of septal defect in heart 3759: 3520:Physical medicine and rehabilitation 2834: 1993: 1591: 1408:from the original on 31 January 2018 944:Aleksandr Aleksandrovich Vishnevskiy 534:Medical University of South Carolina 351:Cardiac surgery programs in Canada: 3769: 2631:10.3978/j.issn.2072-1439.2015.11.08 2261: 2114: 2086:The New England Journal of Medicine 2006:from the original on 6 October 2017 1711:Surgery, Gynecology, and Obstetrics 1189:bronchoscopic lung volume reduction 1108: 780:, also known as "bypass surgery." 778:coronary artery bypass graft (CABG) 24: 4062:transposition of the great vessels 3987:creation of septal defect in heart 3656:Medical Scientist Training Program 2956:The Cardiothoracic Surgery Network 2909:Casali G, Walker WS (March 2009). 1626:from the original on 25 April 2012 1549:. Rockville, MD : Kabel, 2002 1469:from the original on 29 March 2016 1212:non-small cell lung cancer staging 588: 582:American Board of Thoracic Surgery 316:Historically, cardiac surgeons in 25: 4723: 4362:Cardiac resynchronization therapy 2949: 1956:"Heart Surgery in United Kingdom" 1217:Pulmonary reserve is measured by 539:University of Southern California 4586: 4585: 3788: 3778: 3768: 3758: 3749: 3748: 2961:The Society of Thoracic Surgeons 1817:10.1111/j.1747-0803.2006.00013.x 1696:10.1001/jama.1945.02860200029009 1572:Dictionary of National Biography 1243: 1223:diffuse parenchymal lung disease 1053:Pediatric cardiovascular surgery 441:Cardiac surgery training in the 428: 227:, etc.); the exceptions are the 38: 4369:Left atrial appendage occlusion 3789: 2902: 2859: 2777: 2720: 2663: 2606: 2547: 2504: 2447: 2193: 2165: 2073: 2031:The Lancet Respiratory Medicine 2018: 1987: 1974: 1948: 1796: 1739: 1702: 1675: 1648: 1639: 1612: 1603: 1565: 1293:Sleeve/bronchoplastic resection 1272:(removal of a lobe of the lung) 897:which is often associated with 677:The earliest operations on the 550:University of California, Davis 3646:Doctor of Osteopathic Medicine 3080:Oral and maxillofacial surgery 2802:10.1002/14651858.CD010355.pub3 2745:10.1002/14651858.CD003051.pub3 2525:10.1016/j.thorsurg.2016.08.007 2472:10.1002/14651858.CD012020.pub2 2218:10.1002/14651858.CD001001.pub3 1994:Aziz, Fahad (7 January 2017). 1844:The Annals of Thoracic Surgery 1552: 1545:Absolon KB, Naficy MA (2002). 1539: 1498: 1482: 1455: 1420: 1390: 1378:. American Medical Association 1368: 1346: 615:coronary artery bypass surgery 510:Mount Sinai Hospital, New York 406:– 1 position every three years 394:– 1 position every three years 382:– 1 position every three years 362:University of British Columbia 339:University of British Columbia 117:Doctor of Osteopathic medicine 13: 1: 4491:Radionuclide ventriculography 2268:Gang Hou (30 December 2015). 2043:10.1016/S2213-2600(18)30431-4 1857:10.1016/S0003-4975(02)04370-9 1760:10.1016/s0140-6736(00)90001-1 1669:10.1016/S0096-5588(20)31801-8 1441:10.1016/s0003-4975(97)00760-1 1339: 1129:Lung volume reduction surgery 400:– 1 position every other year 376:– 1 position every other year 211:(involving the heart and the 4476:Myocardial perfusion imaging 3626:Bachelor of Medical Sciences 3393:Neurosurgical anesthesiology 3005: 2187:10.1016/j.healun.2005.11.053 1177:removed is 10.9 ± 8.0 days. 1047:robot-assisted heart surgery 1028:endoscopic vessel harvesting 1014:Modern beating-heart surgery 462:Medical College of Wisconsin 7: 2930:10.1016/j.ejcts.2008.11.008 2887:10.1016/j.jtcvs.2007.09.014 2841:Fell, SC; TJ Kirby (2005). 2676:Canadian Journal of Surgery 2619:Journal of Thoracic Disease 2560:Journal of Thoracic Disease 2127:Journal of Thoracic Disease 1898:10.1056/NEJM200102083440601 1311: 1284:(removal of an entire lung) 825:Peter Bent Brigham Hospital 258: 10: 4728: 4712:Pulmonary thoracic surgery 4083:for univentricular defect 1319:Annals of Thoracic Surgery 1307:(removal of the esophagus) 1041:Minimally invasive surgery 788:In 1925 operations on the 592: 489:University of Pennsylvania 4645: 4583: 4562: 4534: 4423:Implantable loop recorder 4391: 4246: 4142: 4067:Arterial switch operation 3882: 3875: 3857:Interventional cardiology 3847: 3744: 3666: 3604: 3365: 3293: 3248: 3157: 3028: 3013: 2133:(Suppl 23): S2748–S2753. 1574:– Henry Souttar (2004–08) 664: 652: 638: 622: 606: 601: 445:is combined with general 311: 295:Australia and New Zealand 137: 102: 97: 81: 69: 54: 49: 37: 4502:Coronary catheterization 3992:Blalock–Hanlon procedure 3953:Mitral valve replacement 3936:Aortic valve replacement 3580:Transplantation medicine 3471:Clinical neurophysiology 3388:Obstetric anesthesiology 3308:Interventional radiology 3068:Digestive system surgery 2873:J Thorac Cardiovasc Surg 2843:General Thoracic Surgery 2513:Thoracic Surgery Clinics 2384:10.1378/chest.111.6.1710 1934:10.1001/jama.287.11.1405 1805:Congenital Heart Disease 1263: 1062:Risks of cardiac surgery 774:patent ductus arteriosus 500:University of Washington 494:University of Pittsburgh 279:residency followed by a 4498:Cardiac catheterization 4440:Electrophysiology study 4340:Radiofrequency ablation 4305:Alcohol septal ablation 3451:Intensive care medicine 3425:Mass gathering medicine 3270:Maternal–fetal medicine 2916:Eur J Cardiothorac Surg 2573:10.21037/jtd.2017.11.15 2423:(Suppl. 3): 161S–177S. 2335:10.1136/thx.2007.079145 2140:10.21037/jtd.2018.08.93 1713:. October (4): 447–66. 1524:10.4045/tidsskr.19.0505 1077:neurocognitive deficits 1020:off-pump bypass surgery 936:University of Minnesota 920:congenital heart defect 705:on 4 September 1895 at 545:University of Rochester 505:Northwestern University 289:cardiac transplantation 4544:Impedance cardiography 4166:Coronary artery bypass 3043:Cardiothoracic surgery 2286:10.1515/jtim-2015-0023 2181:(2, Supplement): S61. 1358:– Medical specialties" 1164:diaphragmatic function 1085:postperfusion syndrome 1081:cardiopulmonary bypass 1035:postperfusion syndrome 1024:cardiopulmonary bypass 963:cardiopulmonary bypass 757:on September 7, 1896. 570:University of Michigan 560:University of Kentucky 515:University of Maryland 478:University of Virginia 438: 404:UniversitĂ© de MontrĂ©al 386:University of Manitoba 275:, or first complete a 219:(involving the lungs, 158:Cardiothoracic surgery 33:Cardiothoracic Surgeon 4575:Transcutaneous pacing 4379:Heart transplantation 4300:Ventricular reduction 4116:Blalock–Taussig shunt 3694:Personalized medicine 3553:Reproductive medicine 3478:Occupational medicine 3432:Evolutionary medicine 2429:10.1378/chest.07-1359 2366:Mountain, CF (1997). 1100:Clostridium difficile 915:University of Toronto 864:Thomas Holmes Sellors 772:creation, closure of 770:Blalock-Taussig shunt 687:Dominique Jean Larrey 436: 416:University of Toronto 368:University of Calgary 356:University of Alberta 343:University of Toronto 335:University of Alberta 172:of organs inside the 4697:Surgical specialties 4671:Lung transplantation 4549:Ballistocardiography 4106:systemic circulation 3714:Traditional medicine 3674:Alternative medicine 3541:Addiction psychiatry 3355:Transfusion medicine 3350:Medical microbiology 3265:Gynecologic oncology 3117:Reproductive surgery 2400:on 5 September 2003. 2099:10.1056/nejmoa030287 695:Daniel Hale Williams 410:University of Ottawa 374:Dalhousie University 4428:Cardiac stress test 4406:Electrocardiography 4345:Pacemaker insertion 4092:Kawashima procedure 4056:compound procedures 3931:Aortic valve repair 3904:Mitral valve repair 3736:History of medicine 3719:Veterinary medicine 3526:Preventive medicine 3378:Adolescent medicine 3220:Infectious diseases 2625:(Suppl 1): S46–54. 1558:Johnson SL (1970). 1195:Lung cancer surgery 967:John Heysham Gibbon 892:infundibular muscle 866:(1902–1987) of the 835:(1910–1993) at the 709:in Kristiania, now 483:Columbia University 467:Stanford University 398:McMaster University 34: 4481:Cardiovascular MRI 4411:Vectorcardiography 4266:Pericardial window 4261:Pericardiocentesis 4202:Drug-eluting stent 4031:Rastelli procedure 3980:Balloon septostomy 3684:Molecular oncology 3641:Doctor of Medicine 3631:Master of Medicine 3548:Radiation oncology 3420:Emergency medicine 3373:Addiction medicine 3340:Clinical chemistry 3335:Clinical pathology 3127:Transplant surgery 3085:Orthopedic surgery 3063:Colorectal surgery 2688:10.1503/cjs.001411 1982:Am. J. Crit. Care. 1962:on 5 November 2011 1505:Raouf, N. (2019). 1205:performance status 975:heart-lung machine 928:C. Walton Lillehei 911:Wilfred G. Bigelow 905:Open heart surgery 899:Fallot's Tetralogy 888:pulmonary stenosis 876:pulmonary stenosis 872:Fallot's Tetralogy 868:Middlesex Hospital 837:Hahnemann Hospital 766:aortic coarctation 555:Indiana University 439: 422:Western University 327:coronary care unit 306:workforce planning 263:A cardiac surgery 251:countries such as 170:surgical treatment 111:Doctor of Medicine 104:Education required 32: 4684: 4683: 4597: 4596: 4454:Angiocardiography 4400:Electrophysiology 4387: 4386: 4330:Catheter ablation 4313:Conduction system 4238:LeCompte maneuver 4226:Bentall procedure 4087:Norwood procedure 4077:Senning procedure 4072:Mustard procedure 3975:Atrial septostomy 3926:Valve replacement 3802: 3801: 3636:Master of Surgery 3600: 3599: 3585:Tropical medicine 3531:Prison healthcare 3446:Hospital medicine 3410:Disaster medicine 3400:Aviation medicine 3215:Hospital medicine 3122:Surgical oncology 3107:Pediatric surgery 3101: 3048:Endocrine surgery 2852:978-0-7817-3889-7 2566:(12): 5399–5403. 2443:on 14 April 2013. 1360:(in Portuguese). 1356:Ordem dos MĂ©dicos 1251:surgical sealants 926:was performed by 675: 674: 654:OPS-301 code 437:Surgeon operating 392:McGill University 287:cardiac surgery, 155: 154: 16:(Redirected from 4719: 4707:Thoracic surgery 4624: 4617: 4610: 4601: 4600: 4589: 4588: 4554:Cardiotocography 4522: 4486:Ventriculography 4459:Echocardiography 4450: 4402: 4318:Maze procedure ( 4315: 4281: 4257: 4210: 4209:Obstacle removal 4197:Bare-metal stent 4193: 4153: 4110:pulmonary artery 4102: 4057: 4042:pulmonary artery 4015:Fontan procedure 4010:pulmonary artery 4002: 3966: 3880: 3879: 3829: 3822: 3815: 3806: 3805: 3792: 3791: 3782: 3772: 3771: 3762: 3761: 3752: 3751: 3456:Medical genetics 3441:General practice 3318:Nuclear medicine 3193:Gastroenterology 3149:Vascular surgery 3099: 3026: 3025: 3000: 2993: 2986: 2977: 2976: 2943: 2942: 2932: 2906: 2900: 2899: 2889: 2863: 2857: 2856: 2838: 2832: 2831: 2821: 2781: 2775: 2774: 2764: 2724: 2718: 2717: 2707: 2667: 2661: 2660: 2650: 2610: 2604: 2603: 2593: 2575: 2551: 2545: 2544: 2508: 2502: 2501: 2491: 2451: 2445: 2444: 2439:. Archived from 2408: 2402: 2401: 2399: 2394:. Archived from 2378:(6): 1710–1717. 2363: 2357: 2356: 2346: 2314: 2308: 2307: 2297: 2265: 2259: 2258: 2246: 2240: 2239: 2229: 2212:(10): CD001001. 2197: 2191: 2190: 2169: 2163: 2162: 2152: 2142: 2118: 2112: 2111: 2101: 2077: 2071: 2070: 2022: 2016: 2015: 2013: 2011: 1991: 1985: 1978: 1972: 1970: 1968: 1967: 1958:. Archived from 1952: 1946: 1945: 1917: 1911: 1910: 1900: 1876: 1870: 1869: 1859: 1835: 1829: 1828: 1800: 1794: 1793: 1787: 1779: 1754:(9208): 1004–7. 1743: 1737: 1736: 1730: 1722: 1706: 1700: 1699: 1679: 1673: 1672: 1652: 1646: 1643: 1637: 1635: 1633: 1631: 1616: 1610: 1607: 1601: 1598: 1589: 1586: 1575: 1569: 1563: 1556: 1550: 1543: 1537: 1536: 1526: 1502: 1496: 1486: 1480: 1478: 1476: 1474: 1459: 1453: 1452: 1424: 1418: 1417: 1415: 1413: 1394: 1388: 1387: 1385: 1383: 1372: 1366: 1365: 1350: 1156:mini-thoracotomy 1109:Thoracic surgery 1005: 1004: 1000: 997: 992:on a child, age 948:local anesthesia 725:and was in deep 683:Francisco Romero 668:edit on Wikidata 648: 611: 599: 598: 565:Emory University 447:thoracic surgery 380:UniversitĂ© Laval 331:vascular surgery 323:echocardiography 269:vascular surgery 217:thoracic surgery 83:Activity sectors 42: 35: 31: 21: 4727: 4726: 4722: 4721: 4720: 4718: 4717: 4716: 4702:Cardiac surgery 4687: 4686: 4685: 4680: 4650:Mediastinoscopy 4641: 4628: 4598: 4593: 4579: 4558: 4530: 4526:Phonocardiogram 4518: 4448:Cardiac imaging 4446: 4398: 4383: 4311: 4295:Septal myectomy 4285:Cardiomyoplasty 4277: 4271:Pericardiectomy 4253: 4242: 4208: 4189: 4149: 4143:Cardiac vessels 4138: 4132:Glenn procedure 4100: 4055: 4038:right ventricle 4000: 3964: 3886: 3871: 3867:Cardiac imaging 3852:Cardiac surgery 3843: 3833: 3803: 3798: 3740: 3729:Chief physician 3662: 3607: 3596: 3590:Travel medicine 3575:Sports medicine 3558:Sexual medicine 3498:Palliative care 3493:Pain management 3437:Family medicine 3415:Diving medicine 3361: 3289: 3251: 3244: 3160: 3153: 3112:Plastic surgery 3058:General surgery 3038:Cardiac surgery 3019: 3017: 3009: 3004: 2952: 2947: 2946: 2907: 2903: 2864: 2860: 2853: 2839: 2835: 2796:(3): CD010355. 2782: 2778: 2739:(1): CD003051. 2725: 2721: 2668: 2664: 2611: 2607: 2552: 2548: 2509: 2505: 2466:(6): CD012020. 2452: 2448: 2409: 2405: 2364: 2360: 2315: 2311: 2266: 2262: 2247: 2243: 2198: 2194: 2170: 2166: 2119: 2115: 2092:(21): 2059–73. 2078: 2074: 2023: 2019: 2009: 2007: 1992: 1988: 1979: 1975: 1965: 1963: 1954: 1953: 1949: 1928:(11): 1405–12. 1918: 1914: 1877: 1873: 1836: 1832: 1801: 1797: 1781: 1780: 1744: 1740: 1724: 1723: 1707: 1703: 1680: 1676: 1653: 1649: 1644: 1640: 1629: 1627: 1618: 1617: 1613: 1608: 1604: 1599: 1592: 1587: 1578: 1570: 1566: 1557: 1553: 1544: 1540: 1503: 1499: 1487: 1483: 1472: 1470: 1461: 1460: 1456: 1429:Ann Thorac Surg 1425: 1421: 1411: 1409: 1396: 1395: 1391: 1381: 1379: 1374: 1373: 1369: 1352: 1351: 1347: 1342: 1314: 1288:Wedge resection 1266: 1246: 1236: 1228: 1197: 1131: 1111: 1064: 1055: 1043: 1016: 1002: 998: 995: 993: 979:John W. Kirklin 907: 880:pulmonary valve 813:rheumatic fever 811:resulting from 809:mitral stenosis 798:mitral stenosis 786: 719:coronary artery 671: 644: 618: 602:Cardiac surgery 597: 595:Cardiac surgery 591: 589:Cardiac surgery 575:Yale University 541:– two positions 496:– two positions 485:– two positions 469:– two positions 451:general surgery 431: 314: 297: 277:general surgery 261: 209:cardiac surgery 174:thoracic cavity 142: 140: 105: 84: 72: 71:Occupation type 45: 28: 23: 22: 15: 12: 11: 5: 4725: 4715: 4714: 4709: 4704: 4699: 4682: 4681: 4679: 4678: 4676:Nuss procedure 4673: 4668: 4663: 4658: 4652: 4646: 4643: 4642: 4633:involving the 4627: 4626: 4619: 4612: 4604: 4595: 4594: 4584: 4581: 4580: 4578: 4577: 4572: 4566: 4564: 4560: 4559: 4557: 4556: 4551: 4546: 4540: 4538: 4536:Function tests 4532: 4531: 4529: 4528: 4523: 4515: 4514: 4509: 4504: 4495: 4494: 4493: 4483: 4478: 4473: 4472: 4471: 4466: 4456: 4451: 4443: 4442: 4437: 4436: 4435: 4433:Bruce protocol 4425: 4420: 4418:Holter monitor 4415: 4414: 4413: 4403: 4395: 4393: 4389: 4388: 4385: 4384: 4382: 4381: 4376: 4371: 4365: 4364: 4359: 4353: 4347: 4342: 4337: 4332: 4327: 4316: 4308: 4307: 4302: 4297: 4292: 4287: 4282: 4274: 4273: 4268: 4263: 4258: 4250: 4248: 4244: 4243: 4241: 4240: 4234: 4233: 4228: 4222: 4221: 4216: 4214:Endarterectomy 4211: 4205: 4204: 4199: 4194: 4191:Coronary stent 4186: 4185: 4184: 4183: 4178: 4173: 4159: 4154: 4146: 4144: 4140: 4139: 4137: 4136: 4135: 4134: 4120: 4119: 4118: 4103: 4097: 4096: 4095: 4094: 4089: 4081: 4080: 4079: 4074: 4069: 4058: 4052: 4051: 4050: 4049: 4035: 4034: 4033: 4022:left ventricle 4019: 4018: 4017: 4003: 3997: 3996: 3995: 3994: 3984: 3983: 3982: 3977: 3967: 3961: 3960: 3955: 3950: 3949: 3948: 3943: 3941:Ross procedure 3933: 3928: 3923: 3922: 3921: 3916: 3906: 3901: 3896: 3890: 3888: 3877: 3873: 3872: 3870: 3869: 3864: 3859: 3854: 3848: 3845: 3844: 3839:involving the 3832: 3831: 3824: 3817: 3809: 3800: 3799: 3797: 3796: 3786: 3776: 3766: 3756: 3745: 3742: 3741: 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surgery 3129: 3124: 3119: 3114: 3109: 3104: 3103: 3102: 3095:Otolaryngology 3092: 3087: 3082: 3077: 3072: 3071: 3070: 3065: 3055: 3050: 3045: 3040: 3034: 3032: 3023: 3021:subspecialties 3011: 3010: 3003: 3002: 2995: 2988: 2980: 2974: 2973: 2968: 2963: 2958: 2951: 2950:External links 2948: 2945: 2944: 2901: 2858: 2851: 2833: 2776: 2719: 2682:(4): 264–270. 2662: 2605: 2546: 2503: 2446: 2403: 2358: 2309: 2280:(4): 147–150. 2260: 2241: 2192: 2164: 2113: 2072: 2037:(4): 313–324. 2017: 1986: 1973: 1947: 1912: 1891:(6): 395–402. 1871: 1850:(2): 472–478. 1830: 1795: 1738: 1701: 1674: 1647: 1638: 1611: 1602: 1590: 1576: 1564: 1551: 1538: 1497: 1481: 1454: 1419: 1389: 1367: 1344: 1343: 1341: 1338: 1337: 1336: 1329: 1322: 1313: 1310: 1309: 1308: 1302: 1299:VATS lobectomy 1296: 1290: 1285: 1279: 1276: 1273: 1265: 1262: 1245: 1242: 1234: 1226: 1196: 1193: 1160:elastic recoil 1130: 1127: 1110: 1107: 1079:attributed to 1063: 1060: 1054: 1051: 1042: 1039: 1015: 1012: 906: 903: 870:operated on a 857:Guy's Hospital 833:Charles Bailey 792:were unknown. 785: 782: 707:Rikshospitalet 673: 672: 665: 662: 661: 656: 650: 649: 642: 636: 635: 626: 620: 619: 612: 604: 603: 593:Main article: 590: 587: 578: 577: 572: 567: 562: 557: 552: 547: 542: 536: 531: 526: 517: 512: 507: 502: 497: 491: 486: 480: 475: 470: 464: 430: 427: 426: 425: 419: 413: 407: 401: 395: 389: 383: 377: 371: 365: 359: 313: 310: 308:in Australia. 296: 293: 273:medical school 260: 257: 249:European Union 241:United Kingdom 205:subspecialized 153: 152: 143: 138: 135: 134: 133: 132: 126: 120: 114: 106: 103: 100: 99: 95: 94: 85: 82: 79: 78: 73: 70: 67: 66: 65: 64: 61: 56: 52: 51: 47: 46: 43: 26: 18:Cardiothoracic 9: 6: 4: 3: 2: 4724: 4713: 4710: 4708: 4705: 4703: 4700: 4698: 4695: 4694: 4692: 4677: 4674: 4672: 4669: 4667: 4664: 4662: 4659: 4656: 4653: 4651: 4648: 4647: 4644: 4640: 4636: 4632: 4625: 4620: 4618: 4613: 4611: 4606: 4605: 4602: 4592: 4582: 4576: 4573: 4571: 4570:Cardioversion 4568: 4567: 4565: 4561: 4555: 4552: 4550: 4547: 4545: 4542: 4541: 4539: 4537: 4533: 4527: 4524: 4521: 4517: 4516: 4513: 4510: 4508: 4505: 4503: 4499: 4496: 4492: 4489: 4488: 4487: 4484: 4482: 4479: 4477: 4474: 4470: 4467: 4465: 4462: 4461: 4460: 4457: 4455: 4452: 4449: 4445: 4444: 4441: 4438: 4434: 4431: 4430: 4429: 4426: 4424: 4421: 4419: 4416: 4412: 4409: 4408: 4407: 4404: 4401: 4397: 4396: 4394: 4390: 4380: 4377: 4375: 4372: 4370: 4367: 4366: 4363: 4360: 4357: 4354: 4351: 4348: 4346: 4343: 4341: 4338: 4336: 4333: 4331: 4328: 4325: 4321: 4317: 4314: 4310: 4309: 4306: 4303: 4301: 4298: 4296: 4293: 4291: 4290:Dor procedure 4288: 4286: 4283: 4280: 4276: 4275: 4272: 4269: 4267: 4264: 4262: 4259: 4256: 4252: 4251: 4249: 4245: 4239: 4236: 4235: 4232: 4229: 4227: 4224: 4223: 4220: 4217: 4215: 4212: 4207: 4206: 4203: 4200: 4198: 4195: 4192: 4188: 4187: 4182: 4179: 4177: 4174: 4172: 4169: 4168: 4167: 4163: 4160: 4158: 4155: 4152: 4148: 4147: 4145: 4141: 4133: 4130: 4129: 4128: 4125:to the right 4124: 4121: 4117: 4114: 4113: 4111: 4107: 4104: 4099: 4098: 4093: 4090: 4088: 4085: 4084: 4082: 4078: 4075: 4073: 4070: 4068: 4065: 4064: 4063: 4059: 4054: 4053: 4048: 4045: 4044: 4043: 4039: 4036: 4032: 4029: 4028: 4027: 4023: 4020: 4016: 4013: 4012: 4011: 4007: 4004: 3999: 3998: 3993: 3990: 3989: 3988: 3985: 3981: 3978: 3976: 3973: 3972: 3971: 3968: 3963: 3962: 3959: 3956: 3954: 3951: 3947: 3946:Transcatheter 3944: 3942: 3939: 3938: 3937: 3934: 3932: 3929: 3927: 3924: 3920: 3917: 3915: 3912: 3911: 3910: 3909:Valvuloplasty 3907: 3905: 3902: 3900: 3897: 3895: 3892: 3891: 3889: 3885: 3881: 3878: 3874: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3850: 3849: 3846: 3842: 3838: 3830: 3825: 3823: 3818: 3816: 3811: 3810: 3807: 3795: 3787: 3785: 3781: 3777: 3775: 3767: 3765: 3757: 3755: 3747: 3746: 3743: 3737: 3734: 3730: 3727: 3726: 3725: 3722: 3720: 3717: 3715: 3712: 3710: 3707: 3705: 3702: 3700: 3699:Public health 3697: 3695: 3692: 3690: 3687: 3685: 3682: 3680: 3679:Allied health 3677: 3675: 3672: 3671: 3669: 3665: 3657: 3654: 3653: 3652: 3649: 3647: 3644: 3642: 3639: 3637: 3634: 3632: 3629: 3627: 3624: 3622: 3619: 3617: 3614: 3613: 3611: 3609: 3603: 3591: 3588: 3587: 3586: 3583: 3581: 3578: 3576: 3573: 3571: 3568: 3564: 3561: 3560: 3559: 3556: 3554: 3551: 3549: 3546: 3542: 3539: 3538: 3537: 3534: 3532: 3529: 3527: 3524: 3521: 3518: 3516: 3513: 3509: 3506: 3505: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3488:Oral medicine 3486: 3484: 3483:Ophthalmology 3481: 3479: 3476: 3472: 3469: 3468: 3467: 3464: 3462: 3459: 3457: 3454: 3452: 3449: 3447: 3444: 3442: 3438: 3435: 3433: 3430: 3426: 3423: 3422: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3394: 3391: 3389: 3386: 3385: 3384: 3381: 3379: 3376: 3374: 3371: 3370: 3368: 3364: 3356: 3353: 3351: 3348: 3346: 3345:Cytopathology 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3327: 3326: 3323: 3319: 3316: 3314: 3311: 3309: 3306: 3305: 3304: 3301: 3300: 3298: 3296: 3292: 3286: 3285:Urogynecology 3283: 3281: 3278: 3276: 3273: 3271: 3268: 3266: 3263: 3261: 3258: 3257: 3255: 3253: 3247: 3241: 3238: 3236: 3233: 3231: 3228: 3226: 3223: 3221: 3218: 3216: 3213: 3211: 3208: 3206: 3203: 3199: 3196: 3195: 3194: 3191: 3189: 3188:Endocrinology 3186: 3184: 3181: 3179: 3176: 3174: 3170: 3167: 3166: 3164: 3162: 3156: 3150: 3147: 3143: 3140: 3139: 3138: 3135: 3133: 3130: 3128: 3125: 3123: 3120: 3118: 3115: 3113: 3110: 3108: 3105: 3098: 3097: 3096: 3093: 3091: 3088: 3086: 3083: 3081: 3078: 3076: 3073: 3069: 3066: 3064: 3061: 3060: 3059: 3056: 3054: 3051: 3049: 3046: 3044: 3041: 3039: 3036: 3035: 3033: 3031: 3027: 3024: 3022: 3016: 3012: 3008: 3001: 2996: 2994: 2989: 2987: 2982: 2981: 2978: 2972: 2969: 2967: 2964: 2962: 2959: 2957: 2954: 2953: 2940: 2936: 2931: 2926: 2922: 2918: 2917: 2912: 2905: 2897: 2893: 2888: 2883: 2879: 2875: 2874: 2869: 2862: 2854: 2848: 2844: 2837: 2829: 2825: 2820: 2815: 2811: 2807: 2803: 2799: 2795: 2791: 2787: 2780: 2772: 2768: 2763: 2758: 2754: 2750: 2746: 2742: 2738: 2734: 2730: 2723: 2715: 2711: 2706: 2701: 2697: 2693: 2689: 2685: 2681: 2677: 2673: 2666: 2658: 2654: 2649: 2644: 2640: 2636: 2632: 2628: 2624: 2620: 2616: 2609: 2601: 2597: 2592: 2587: 2583: 2579: 2574: 2569: 2565: 2561: 2557: 2550: 2542: 2538: 2534: 2530: 2526: 2522: 2518: 2514: 2507: 2499: 2495: 2490: 2485: 2481: 2477: 2473: 2469: 2465: 2461: 2457: 2450: 2442: 2438: 2434: 2430: 2426: 2422: 2418: 2414: 2407: 2398: 2393: 2389: 2385: 2381: 2377: 2373: 2369: 2362: 2354: 2350: 2345: 2340: 2336: 2332: 2329:(11): 991–7. 2328: 2324: 2320: 2313: 2305: 2301: 2296: 2291: 2287: 2283: 2279: 2275: 2271: 2264: 2256: 2252: 2245: 2237: 2233: 2228: 2223: 2219: 2215: 2211: 2207: 2203: 2196: 2188: 2184: 2180: 2176: 2168: 2160: 2156: 2151: 2146: 2141: 2136: 2132: 2128: 2124: 2117: 2109: 2105: 2100: 2095: 2091: 2087: 2083: 2076: 2068: 2064: 2060: 2056: 2052: 2048: 2044: 2040: 2036: 2032: 2028: 2021: 2005: 2001: 1997: 1996:"Pleurectomy" 1990: 1983: 1977: 1961: 1957: 1951: 1943: 1939: 1935: 1931: 1927: 1923: 1916: 1908: 1904: 1899: 1894: 1890: 1886: 1882: 1875: 1867: 1863: 1858: 1853: 1849: 1845: 1841: 1834: 1826: 1822: 1818: 1814: 1810: 1806: 1799: 1791: 1785: 1777: 1773: 1769: 1765: 1761: 1757: 1753: 1749: 1742: 1734: 1728: 1720: 1716: 1712: 1705: 1697: 1693: 1689: 1685: 1678: 1670: 1666: 1662: 1658: 1657:J Thorac Surg 1651: 1642: 1625: 1621: 1615: 1606: 1597: 1595: 1585: 1583: 1581: 1573: 1568: 1561: 1555: 1548: 1542: 1534: 1530: 1525: 1520: 1516: 1512: 1508: 1501: 1495: 1494:1-899066-54-3 1491: 1485: 1468: 1464: 1458: 1450: 1446: 1442: 1438: 1434: 1430: 1423: 1407: 1403: 1399: 1393: 1377: 1371: 1363: 1359: 1357: 1349: 1345: 1335: 1334: 1330: 1328: 1327: 1323: 1321: 1320: 1316: 1315: 1306: 1305:esophagectomy 1303: 1300: 1297: 1294: 1291: 1289: 1286: 1283: 1282:Pneumonectomy 1280: 1277: 1274: 1271: 1268: 1267: 1261: 1259: 1254: 1252: 1244:Complications 1241: 1238: 1232: 1231:pneumonectomy 1225:, and the FEV 1224: 1220: 1215: 1213: 1208: 1206: 1202: 1192: 1190: 1185: 1182: 1178: 1176: 1171: 1167: 1165: 1161: 1157: 1153: 1149: 1144: 1140: 1139:emphysematous 1136: 1126: 1124: 1120: 1116: 1106: 1103: 1101: 1095: 1093: 1088: 1086: 1082: 1078: 1074: 1070: 1067:incidence of 1059: 1050: 1048: 1038: 1036: 1031: 1029: 1025: 1021: 1011: 1009: 990: 986: 984: 980: 976: 972: 968: 964: 960: 956: 951: 949: 945: 941: 937: 933: 932:F. John Lewis 929: 925: 921: 916: 912: 902: 900: 896: 893: 889: 885: 884:Russell Brock 881: 877: 874:patient with 873: 869: 865: 860: 858: 854: 853:Russell Brock 850: 846: 845:Dwight Harken 842: 838: 834: 830: 826: 822: 821:Dwight Harken 818: 817:Horace Smithy 814: 810: 806: 801: 799: 795: 794:Henry Souttar 791: 781: 779: 775: 771: 767: 763: 762:great vessels 758: 756: 752: 748: 744: 740: 739:mediastinitis 737:proved to be 736: 732: 728: 724: 720: 716: 712: 708: 704: 703:Axel Cappelen 700: 696: 692: 688: 684: 680: 669: 663: 660: 657: 655: 651: 647: 643: 641: 637: 634: 630: 627: 625: 621: 616: 610: 605: 600: 596: 586: 583: 576: 573: 571: 568: 566: 563: 561: 558: 556: 553: 551: 548: 546: 543: 540: 537: 535: 532: 530: 527: 524: 521: 518: 516: 513: 511: 508: 506: 503: 501: 498: 495: 492: 490: 487: 484: 481: 479: 476: 474: 471: 468: 465: 463: 460: 459: 458: 455: 452: 448: 444: 443:United States 435: 429:United States 423: 420: 417: 414: 411: 408: 405: 402: 399: 396: 393: 390: 387: 384: 381: 378: 375: 372: 369: 366: 363: 360: 357: 354: 353: 352: 349: 346: 344: 340: 336: 332: 328: 324: 319: 309: 307: 303: 292: 290: 286: 282: 278: 274: 270: 266: 256: 254: 250: 246: 242: 238: 234: 230: 229:United States 226: 222: 218: 214: 213:great vessels 210: 206: 201: 199: 195: 192:), and other 191: 187: 183: 182:heart disease 179: 175: 171: 167: 163: 159: 151: 147: 144: 136: 130: 127: 124: 121: 118: 115: 112: 109: 108: 107: 101: 96: 93: 89: 86: 80: 77: 74: 68: 62: 59: 58: 57: 53: 48: 41: 36: 30: 19: 4358:implantation 4352:implantation 4335:Cryoablation 4176:Off-pump CAB 3986: 3969: 3894:Valve repair 3884:Heart valves 3704:Rural health 3689:Nanomedicine 3240:Rheumatology 3171: / 3090:Hand surgery 3075:Neurosurgery 3042: 2923:(3): 423–8. 2920: 2914: 2904: 2880:(3): 642–7. 2877: 2871: 2861: 2842: 2836: 2793: 2789: 2779: 2736: 2732: 2722: 2679: 2675: 2665: 2622: 2618: 2608: 2563: 2559: 2549: 2519:(1): 41–46. 2516: 2512: 2506: 2463: 2459: 2449: 2441:the original 2420: 2416: 2406: 2397:the original 2375: 2371: 2361: 2326: 2322: 2312: 2277: 2273: 2263: 2254: 2250: 2244: 2209: 2205: 2195: 2178: 2174: 2167: 2130: 2126: 2116: 2089: 2085: 2075: 2034: 2030: 2020: 2008:. Retrieved 1999: 1989: 1981: 1976: 1964:. Retrieved 1960:the original 1950: 1925: 1921: 1915: 1888: 1885:N Engl J Med 1884: 1874: 1847: 1843: 1833: 1811:(3): 77–88. 1808: 1804: 1798: 1784:cite journal 1751: 1747: 1741: 1727:cite journal 1710: 1704: 1687: 1683: 1677: 1660: 1656: 1650: 1641: 1628:. Retrieved 1614: 1605: 1567: 1559: 1554: 1546: 1541: 1514: 1510: 1500: 1484: 1471:. Retrieved 1457: 1435:(3): 870–1. 1432: 1428: 1422: 1410:. Retrieved 1402:www.tsda.org 1401: 1392: 1382:28 September 1380:. Retrieved 1370: 1355: 1354:"Portuguese 1348: 1331: 1324: 1317: 1255: 1247: 1239: 1233:. If the FEV 1216: 1209: 1198: 1186: 1183: 1179: 1172: 1168: 1132: 1123:mesothelioma 1119:pneumothorax 1112: 1104: 1099: 1096: 1089: 1083:is known as 1069:neurological 1065: 1056: 1044: 1032: 1017: 987: 952: 908: 861: 841:Philadelphia 829:mitral valve 805:World War II 802: 790:heart valves 787: 759: 691:Henry Dalton 676: 579: 456: 440: 424:– 1 position 418:– 1 position 412:– 1 position 388:– 1 position 370:– 1 position 364:– 1 position 358:– 1 position 350: 347: 315: 298: 262: 216: 208: 202: 200:structures. 190:lung disease 168:involved in 157: 156: 29: 4512:Cardiac PET 4255:Pericardium 4219:Atherectomy 4157:Angioplasty 3899:Valvulotomy 3774:Wikiproject 3563:Venereology 3508:Neonatology 3405:Dermatology 3260:Gynaecology 3252:gynaecology 3235:Pulmonology 3053:Eye surgery 3015:Specialties 1690:: 189–202. 1663:: 347–361. 1473:12 February 1191:procedure. 1175:chest tubes 1162:as well as 989:Nazih Zuhdi 983:Mayo Clinic 924:hypothermia 882:. In 1948, 760:Surgery in 743:Ludwig Rehn 735:post mortem 731:thoracotomy 717:a bleeding 679:pericardium 659:5-35...5-37 237:New Zealand 198:mediastinal 98:Description 4691:Categories 4666:Bullectomy 4507:Cardiac CT 4374:Cardiotomy 4279:Myocardium 4047:Sano shunt 3837:procedures 3835:Tests and 3536:Psychiatry 3522:(PM&R) 3515:Phlebology 3503:Pediatrics 3330:Anatomical 3295:Diagnostic 3275:Obstetrics 3225:Nephrology 3210:Hematology 3205:Geriatrics 3198:Hepatology 3183:Cardiology 3173:Immunology 2251:DrugTopics 1966:2011-10-21 1340:References 1219:spirometry 971:oxygenator 281:fellowship 141:employment 125:(M.B.B.S.) 50:Occupation 4661:Lobectomy 3887:and septa 3724:Physician 3608:education 3466:Neurology 3461:Narcology 3325:Pathology 3303:Radiology 3178:Angiology 3142:Andrology 2810:1469-493X 2753:1469-493X 2696:1488-2310 2639:2072-1439 2582:2072-1439 2533:1558-5069 2480:1469-493X 2051:2213-2600 2010:4 October 1270:Lobectomy 1148:resection 1092:EuroSCORE 755:ventricle 747:Frankfurt 699:Norwegian 285:pediatric 265:residency 247:and some 233:Australia 221:esophagus 146:Hospitals 139:Fields of 76:Specialty 4591:Category 4324:minimaze 4320:Cox maze 3754:Category 3230:Oncology 3161:medicine 3159:Internal 3007:Medicine 2939:19136272 2896:18329487 2828:30840317 2771:20091536 2714:22854148 2657:26941970 2600:29312751 2541:27865326 2498:28589547 2437:17873167 2353:17573442 2304:27847904 2257:(2): 18. 2236:27739074 2159:30210828 2108:12759479 2067:73428098 2059:30744937 2004:Archived 2000:Medscape 1942:11903027 1907:11172175 1866:12607656 1825:18377550 1776:26116465 1768:10768449 1719:13256320 1630:16 April 1624:Archived 1533:31592616 1467:Archived 1406:Archived 1362:Archived 1312:See also 1071:damage. 942:surgeon 895:stenosis 862:In 1947 768:repair, 701:surgeon 624:ICD-9-CM 341:and the 259:Training 253:Portugal 166:medicine 88:Medicine 4631:Surgery 3876:Surgery 3794:Outline 3764:Commons 3709:Therapy 3606:Medical 3169:Allergy 3137:Urology 3030:Surgery 2819:6402531 2762:7138070 2705:3404148 2648:4756241 2591:5756963 2489:6481477 2392:9187198 2344:2117132 2295:4936455 2227:6461146 2150:6129809 1449:9307502 1152:bullous 1030:(EVH). 1001:⁄ 981:at the 934:at the 913:of the 823:of the 751:Germany 715:ligated 685:(1801) 646:D006348 194:pleural 160:is the 150:Clinics 131:(MBChB) 92:Surgery 63:Surgeon 4657:(VATS) 4563:Pacing 4171:MIDCAB 4162:Bypass 4112:shunt 4006:atrium 3919:mitral 3914:aortic 3784:Portal 3651:MD–PhD 2937:  2894:  2849:  2826:  2816:  2808:  2769:  2759:  2751:  2712:  2702:  2694:  2655:  2645:  2637:  2598:  2588:  2580:  2539:  2531:  2496:  2486:  2478:  2435:  2390:  2351:  2341:  2323:Thorax 2302:  2292:  2234:  2224:  2157:  2147:  2106:  2065:  2057:  2049:  1940:  1905:  1864:  1823:  1774:  1766:  1748:Lancet 1717:  1531:  1517:(14). 1492:  1447:  1115:pleura 1073:Stroke 1008:cancer 940:Soviet 922:using 849:Boston 723:axilla 693:, and 585:body. 337:, the 318:Canada 312:Canada 239:, the 225:thymus 215:) and 119:(D.O.) 113:(M.D.) 60:Doctor 4639:lungs 4635:chest 4520:sound 4392:Tests 4350:S-ICD 4247:Other 4181:TECAB 4026:aorta 3841:heart 3366:Other 2417:Chest 2372:Chest 2063:S2CID 1772:S2CID 1412:8 May 1264:Types 1201:stage 959:lungs 955:brain 727:shock 713:. He 666:[ 245:India 207:into 186:lungs 178:heart 162:field 55:Names 4637:and 4322:and 4060:for 2935:PMID 2892:PMID 2847:ISBN 2824:PMID 2806:ISSN 2767:PMID 2749:ISSN 2737:2010 2710:PMID 2692:ISSN 2653:PMID 2635:ISSN 2596:PMID 2578:ISSN 2537:PMID 2529:ISSN 2494:PMID 2476:ISSN 2464:2017 2433:PMID 2388:PMID 2349:PMID 2300:PMID 2232:PMID 2210:2016 2155:PMID 2104:PMID 2055:PMID 2047:ISSN 2012:2017 1938:PMID 1922:JAMA 1903:PMID 1862:PMID 1821:PMID 1790:link 1764:PMID 1733:link 1715:PMID 1684:JAMA 1632:2012 1529:PMID 1490:ISBN 1475:2016 1445:PMID 1414:2018 1384:2020 1143:lung 1135:COPD 1121:and 930:and 851:and 711:Oslo 640:MeSH 580:The 523:UCLA 4469:TEE 4464:TTE 4356:ICD 4151:CHD 4123:SVC 4108:to 4040:to 4024:to 4008:to 3100:ENT 3018:and 2925:doi 2882:doi 2878:135 2814:PMC 2798:doi 2757:PMC 2741:doi 2700:PMC 2684:doi 2643:PMC 2627:doi 2586:PMC 2568:doi 2521:doi 2484:PMC 2468:doi 2425:doi 2421:132 2380:doi 2376:111 2339:PMC 2331:doi 2290:PMC 2282:doi 2255:162 2222:PMC 2214:doi 2183:doi 2145:PMC 2135:doi 2094:doi 2090:348 2039:doi 1930:doi 1926:287 1893:doi 1889:344 1852:doi 1813:doi 1756:doi 1752:355 1692:doi 1688:128 1665:doi 1519:doi 1515:139 1437:doi 1210:In 1137:of 977:'. 855:at 847:in 745:of 196:or 184:), 164:of 4693:: 4127:PA 3439:/ 2933:. 2921:35 2919:. 2913:. 2890:. 2876:. 2870:. 2822:. 2812:. 2804:. 2792:. 2788:. 2765:. 2755:. 2747:. 2735:. 2731:. 2708:. 2698:. 2690:. 2680:55 2678:. 2674:. 2651:. 2641:. 2633:. 2621:. 2617:. 2594:. 2584:. 2576:. 2562:. 2558:. 2535:. 2527:. 2517:27 2515:. 2492:. 2482:. 2474:. 2462:. 2458:. 2431:. 2419:. 2415:. 2386:. 2374:. 2370:. 2347:. 2337:. 2327:62 2325:. 2321:. 2298:. 2288:. 2276:. 2272:. 2253:. 2230:. 2220:. 2208:. 2204:. 2179:25 2177:. 2153:. 2143:. 2131:10 2129:. 2125:. 2102:. 2088:. 2084:. 2061:. 2053:. 2045:. 2033:. 2029:. 2002:. 1998:. 1936:. 1924:. 1901:. 1887:. 1883:. 1860:. 1848:75 1846:. 1842:. 1819:. 1807:. 1786:}} 1782:{{ 1770:. 1762:. 1750:. 1729:}} 1725:{{ 1686:. 1661:14 1659:. 1622:. 1593:^ 1579:^ 1527:. 1513:. 1509:. 1465:. 1443:. 1433:64 1431:. 1404:. 1400:. 1166:. 965:. 950:. 843:, 839:, 831:. 815:. 749:, 689:, 633:37 629:35 345:. 325:, 255:. 243:, 235:, 231:, 223:, 148:, 90:, 4623:e 4616:t 4609:v 4500:/ 4326:) 4164:/ 3828:e 3821:t 3814:v 2999:e 2992:t 2985:v 2941:. 2927:: 2898:. 2884:: 2855:. 2830:. 2800:: 2794:3 2773:. 2743:: 2716:. 2686:: 2659:. 2629:: 2623:8 2602:. 2570:: 2564:9 2543:. 2523:: 2500:. 2470:: 2427:: 2382:: 2355:. 2333:: 2306:. 2284:: 2278:3 2238:. 2216:: 2189:. 2185:: 2161:. 2137:: 2110:. 2096:: 2069:. 2041:: 2035:7 2014:. 1969:. 1944:. 1932:: 1909:. 1895:: 1868:. 1854:: 1827:. 1815:: 1809:1 1792:) 1778:. 1758:: 1735:) 1721:. 1698:. 1694:: 1671:. 1667:: 1634:. 1535:. 1521:: 1477:. 1451:. 1439:: 1416:. 1386:. 1235:1 1227:1 1003:2 999:1 996:+ 994:3 764:( 670:] 631:– 188:( 180:( 20:)

Index

Cardiothoracic

Specialty
Medicine
Surgery
Doctor of Medicine
Doctor of Osteopathic medicine
Bachelor of Medicine, Bachelor of Surgery
Bachelor of Medicine, Bachelor of Surgery
Hospitals
Clinics
field
medicine
surgical treatment
thoracic cavity
heart
heart disease
lungs
lung disease
pleural
mediastinal
subspecialized
great vessels
esophagus
thymus
United States
Australia
New Zealand
United Kingdom
India

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