Hybrid aortic arch repair

There are always patients where their approximate Rettig your dick pathology starts more proximately like in this patient who also had an eighth-inning ojek aneurysm and exceptionally Leanne deathless chaotic one with multiple penetrating adult erotic ulcers what we did and was in a sending autók replacement we call this a normal thermic total arch repair perfusionist by a side branch to the right subclavian artery a clamp is being put at the level of the brackets of electron conditioning orders being replaced and in the next step you may add either double transposition like in that case and read see

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There multiple lacerations in the bracket cephalic trunk or total re-routing a dependent on to the individual situation in this particular case we use double transposition as you can see here and in a few minutes and you will see the insertion of the same craft due to the obliterated itary ography of the disease in this patient and the exits via did via the external iliac artery was insufficient and so we went for retroperitoneal approach to put a 9 millimeter prosthesis of the common iliac artery and then advanced this then craft with a proximal tip capture.

Shat we feel is important within the allergic arch at the level at the offspring of the brackets you valdakk track and you can see the deployment of the proximal graft here and the distal graft with a luxury overlapping so because we feel this is very important to gain sufficient sealing distally in a few moments you will see the completion and geography with regular super erotic perfusion of double transposition distant graft in place as well there’s no signs of any kind of in the leakage and as you can see we also replaced the old Iguala with the bioprosthesis due to land middle grade or dick stenosis

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A-FIB VERSUS JUNCTIONAL RHYTHMS

. ATRIAL FIBRILLATION: On your rhythm strip, the two most important characteristics are: . 1) A rhythm that’s IRREGULARLY irregular (meaning there’s no way to predict the next beat) 2) No discernible P waves . In fact, if you notice an irregularly irregular rhythm and you’re having to convince yourself that you see P waves... it’s probably A-fib (multifocal atrial arrhythmias like WAP/MAT could fit the differential) . *In my opinion: Don’t get caught up in using fibrillation waves as an absolute criteria. Very fine A-fib can sometimes produce a near isoelectric line between beats. . JUNCTIONAL RHYTHMS: The pacemaker cells surrounding the AV junction are capable of initiating regular impulses but at a slightly slower natural rate than their sinus and atrial superiors. The heart is built this way so that when the pacemaker cells with the fastest intrinsic rates are in action, those below are suppressed and function primarily to pass along the impulse from above. . For these reasons, we s

The Pathway of Blood

Here’s a great illustration on the pathway of blood flow through the heart. It may seem easy...but you should know this cold as well as the cardiac anatomy, both of which will make procedures and understanding hemodynamics easier. . . . 💙VENOUS BLOOD- Blood flows into the heart (into the right atrium) through two major veins (the superior and inferior vena cava) as well as from the coronary sinus (cardiac venous blood from the coronaries) and then out through the first AV valve (tricuspid valve) into the right ventricle. From there blood flows into the right ventricular outflow tract, across the first semilunar valve (pulmonic valve) and into the main and then left and right pulmonary arteries. Blood then enters the lungs to become oxygenated. . . . ❤️ARTERIAL BLOOD- now that blood is oxygenated flow goes from the lungs into the left atrium through 4 veins (usually) called the pulmonary veins. From the left atrium blood flows across the other AV valve (mitral valve) and into the left

What is The Cardiac Cycle ?

The cardiac cycle refers to the sequence of events that occur and repeat with each heartbeat. It can be divided into two main stages: Systole and diastole, each of which is divided into several small steps When systole and diastole are not specified otherwise refers to ventricular contraction and relaxation Respectively, Reminder Blood flows from low to low pressure Compression increases the pressure in a Chamber, while relaxation reduces the pressure. When the AVT valves open the anterior pressures are higher than the ventricular pressures and Off when the pressure gradient is reversed. Similarly, Semiluna valves open when ventricular pressure exceeds submerged /, pulmonary pressure And stop. If the opposite is true, The cycle was started by firing shots at the SA node, which encouraged the atria to lower . Learn here Atrial Fibrillation Treatment It is represented by p-waves in the ECG Shortly after the onset of the P-wave atrial contraction begins and increases the

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