Talk:Cardiac surgery

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Ashley oconnell.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:47, 16 January 2022 (UTC)

note

"A 2012 Cochrane systematic review found evidence that..." does not seem to be about a cardiac surgery "technique". Suggest removal or moving paragraph to "history" section. This is not my field, so I am not sure where to move it. Same with next paragraph regarding smoking and cardiac surgery. The "technique" section is lacking in any description of techniques.Jajava (talk) 06:22, 28 November 2013 (UTC)

== What about?

Including something about the roles of the medical team associated with the procedure? The medical and scientific teams, and equipment used and developed for the surgery deserve a mention... Perfusionists, anesthesiologists, anesthetics used, aortic stints, imaging equipment methods and practices.

I'd like to collaborate with anyone interested to include these on the Cardiac surgery page; cheers user:Mattycoze

E. Converse Peirce

I highly doubt the claim Dr. Peirce "paved the way for successful open heart surgery technology in the 1960s and 1970s." Please see my comments in Talk:Membrane oxygenator. The claim may be applicable on the Membrane oxygenator page, but it isn't significant enough to include here. I won't delete the text here yet to get time to substantiate the claim. Dlodge 17:12, 30 December 2006 (UTC)

No response. Removed text. Dlodge 20:29, 4 January 2007 (UTC)

Claims re: Daniel Hale Williams

The claims regarding Daniel Hale Williams performing the first open heart surgery are incorrect for a variety of reasons:

• Dr. Williams was not the first to repair a pericardial wound - Henry Dalton sutured a pericardium in 1891. Dr. Williams did in fact repair the pericardium of James Cornish in 1893, who had been stabbed in the chest. Surgery within the chest was unheard of in those days due to the almost inevitable infection and resulting death.
• The pericardium is not part of the heart - it is the sac surrounding the heart. Dr. Williams did not suture the heart, so in fact he did not perform any type of surgery on the heart.
• "Open heart surgery" is a widely overused term. Coronary artery bypass surgery is not in fact "open-heart" - the bypass grafts are sewn onto the outside of the heart. True open heart surgery entails things such as valve replacement when the heart is cut open and surgery is performed inside the heart.

For the above reasons, I have removed the claims regarding Dr. Williams. The Wikipedia page on Dr. Williams gives a good description (with references) of his surgery on the pericardium. Dlodge 05:57, 28 January 2007 (UTC)

The term "Open heart surgery" refers to the use of extracorporeal circulation during the operation, which means stopping the heart and relying on a heart-lung machine, regardless of whether the heart chambers are cut open or not. So, a coronary bypass operation is an open procedure if done under extracorporeal circulation, even if the heart chambers need not be opened. —Preceding unsigned comment added by 78.187.37.182 (talk) 14:38, 9 November 2008 (UTC)

I don't think this last comment makes sense unless surgeons have decided to mangle the English language! Surely the words "open" and "heart" have a plain meaning? They mean the heart has been cut open for a surgical procedure. Extra corporeal circulation was not used originally but is a very desirable refinement of open heart surgery that was introduced early on. A coronary bypass clearly involves "cutting" the heart. Whether you treat that as "opening" is a semantic and technical question which I am not qualified to judge but "extracorporeal circulation" ought not to be the criterion for the use of this plain and simple term "open heart". If a term were needed then "suspended heart" would be better. Budhen (talk) 15:21, 31 January 2009 (UTC)

Dlodge & Budhen: Although your proposed definition of "open heart surgery" may have merit, Wikipedia should reflect standard usage, which is along the lines of the preceding comment, i.e. "surgery in which the heart is exposed and the blood made to bypass it". This usage is documented by the following online dictionaries: www.nlm.nih.gov/medlineplus, www.healthline.com/health, www.medicinenet.com, cardiac.surgery.ucsf.edu, www.thefreedictionary.com, medical-dictionary.thefreedictionary.com, www.healthgrades.com. For more references, try googling ":define open heart surgery" (without the quotation marks). Nasorenga (talk) 17:56, 25 February 2015 (UTC)

www.heart-valve-surgery.com

http://meta.wikimedia.org/wiki/Talk:Spam_blacklist#heart-valve-surgery.com

According to the above link to the spam blacklist, this site is merely an advertisement... Per policy, it's been deleted.

So please, quit adding it back in.

60.234.236.149 07:07, 26 March 2007 (UTC)

Nazih Zuhdi

I trimmed the WP:Coatrack on Nazih Zuhdi to what was referenced and seemed relevant to this article. He may be worth his own article though. The extra information can be found at this diff AIRcorn (talk) 06:22, 24 May 2011 (UTC)

No mention of Blalock-Taussig Shunt

Why is there no mention of the work of Alfred Blalock, Helen Taussig and Vivien Thomas at Johns Hopkins University? It seems their work predates the work of Sellors and Brock mentioned in the article. — Preceding unsigned comment added by 1lucky2 (talk • contribs) 20:21, 8 April 2012 (UTC)

No mention of Dr. Favaloro

Why not mention it to Dr. René Favaloro, who was the founder of the bypass and eminence of cardiac surgery? — Preceding unsigned comment added by 181.46.95.180 (talk) 02:01, 29 June 2013 (UTC)

TEVAR

At the moment, I've created a redirect from TEVAR to the page for Endovascular aneurysm repair, which I think is OK for the time-being. I know some cardiac surgeons who would want to at least list TEVAR on the template for cardiac surgery procedures.

Since TEVAR is performed by both cardiac and vascular surgeons, perhaps someone who works on CT surgery stuff can work with me on this? Thanks. Bakerstmd (talk) 21:52, 25 March 2014 (UTC)

Kidneys

... sometimes struggle after cardiac surgery, and this may contribute to mortality. Review: doi:10.2215/CJN.07830814 JFW | T@lk 10:27, 9 March 2015 (UTC)

Open Heart Surgery Under Local Anesthesia?!

In the first paragraph of the article section titled "Open Heart Surgery" we read that in 1953 "Soviet surgeon Aleksandr Aleksandrovich Vishnevskiy conducted the first cardiac surgery under local anesthesia. During this surgery, the heart is exposed and the patient's blood is made to bypass it." No citation is given to support this claim of heart surgery under local anesthesia in either this article, nor in the brief article on Dr. Vishnevskiy. Open heart surgery performed under local anesthesia - where the patient is awake and conscious - seems highly implausible. An article from the JAMA found at this website: http://jama.jamanetwork.com/article.aspx?articleid=1104440 states that open heart surgery requires general anesthesia. If the statement about the 1953 Soviet surgeon is true, then it needs to be elaborated upon and hopefully supported with a citation or two. But as it stands now, it looks to be either an error confusing "general" with "local" or a joke. Qdiderot (talk) 23:45, 5 April 2015 (UTC)

I am planning to contribute in this page. I am hoping to add more information about bypass. Celena21 (talk) 21:48, 29 April 2015 (UTC) User:Celena21/Open heart surgery

I am planning to add to this page discussing what happens after surgery along with details involving heart transplants using the following resources: Ashley oconnell (talk) 17:29, 22 February 2016 (UTC)Ashley O'Connell

Heart Transplants and Post-Surgical Care

Diving into cardiac surgery there are many kinds of surgeries that one can discuss and aside from that, there are many reasons why a patient may receive a cardiac surgery. Aside from the many types of cardiac surgeries that occur, one surgery that is the most visual in the field is open-heart surgery. Open-heart surgery is when there is about an 8-inch incision that a patient receives over their chest and then the surgeon continues with the procedure and follows it with closing the incision. A common open-heart surgery procedure is one that is very complex and strategically thought out prior to, and that is a heart transplant. Heart transplants are not necessarily common but a procedure that is obviously completed while the chest cavity is completely exposed. Heart transplants occur when a patient has a portion or portions of their heart that are not working properly and are unable to be healed on their own. A heart transplant is a very intense operation and common complications that can occur involve rejection of the heart. Meaning the person receiving the donor heart rejects the organ. If the patient who is receiving a heart surgery accepts the heart, it is a very successful surgery and few complications occur when the right steps are completed following the procedure. Following an open-heart procedure, along with many other surgical procedures, there are certain steps that a patient needs to take post-operation. Incision care is very important to not only heal the scar that occurred from the surgery in the best way possible, but also to avoid getting any infections that could occur if the incision is not cleaned properly. Aside from taking care of the incisions and scarring that is present, it is important to understand that you body is still getting accustomed to something new therefore other side effects may occur. Not having an appetite along with swelling can be common side effects to any surgery therefore it is beneficial to expect these changes when approaching a surgery as serious as open-heart surgery. Ashley oconnell (talk) 04:39, 1 March 2016 (UTC)Ashley O'Connell

References

Peer Review

Hi Ashley,

You certainly picked a difficult task for your article! But it is also an accomplishment for your efforts!

I was not quite sure based on your discussion forum post. Are you adding your paragraph to the current lead section? OR replacing them all? I think the lead section should serve as the purpose of briefing all the potential related topics, defining the scope of the article and offering a broad definition to the topic. There are rooms to improve in this regards. I think the current version of the article has a clear structure. 1 Etymology 2 Agent, host range, symptoms, impact 3 History 4 Infection 5 Disease progression 5.1 Gastrointestinal and respiratory signs 5.2 Neurological signs 5.3 Lasting signs 6 Diagnosis 7 Prevention 8 Treatment 9 Relation to Paget's disease 10 Prevalence 10.1 Contributing factors 11 Further reading 12 References 13 External links

I would suggest you to move Etymology and Agent, host range, symptoms, impact all to under History. The rest of topics are in the order of a reader's expectations.

Again, I was not quite sure where do you plan to put your article in the current version. Just by reading your paragraph, I think it might be a good way for lead section instead of the body part of the article. But as a body part of a WikiPedia article, it lacks depth and details to be informative.

I hope you enjoy working on your article and good luck! Haitaoyu (talk) 22:43, 4 April 2016 (UTC)

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