Sunday, March 20, 2011

Difference Between Herpes And Impetigo

first heart transplant in the New INCOR: there were (updated)

Thanks to the pictures very kindly gave us Dr. Eduardo Alvarez, resident physician of INCOR , we decided to publish (and update) this post.


Sunday October 17, 2010 this server was in turn to catch the INCOR anesthesiology. What luck! Thanks fate! At 23.00 hours was confirmed the completion of the first heart transplant in the new INCOR. As an anesthesiologist with a stopper, this blogger would, together with the Chief of Surgical Center, Dr. Juan De La Cruz, the honor and challenge to represent our specialty in this momentous and historic event.

Join the operating room
With us, a great team of doctors, nurses, technicians, nurses and administrative workers amply realized. The transplant was a resounding success and our patient, Rupire Agrippina, is today in excellent condition.

Heart transplant
She carried the Ebstein anomaly. What is this disease?


Pictured left is a normal heart. In the right image the tricuspid valve, which connects the right atrium and right ventricle is inserted lower than normal and does not close properly. Similarly, we have an atrial septal defect, that is, a "hole" that communicates abnormally both atria.



Consequences:
1) small and weak right ventricle to pump blood to the lungs insufficient. The oxygenated blood is less compared to normal.
2) right ventricular blood back into the right atrium. The heart becomes overloaded with blood and begins to expand, to become a "ball" with little power to pump.


3) For the ASD goes, unusually, no oxygenated blood (venous, blue) to the left side of the heart, mixed (purple) with arterial blood oxygen (red). The result is oxygen-poor blood goes through your body. Cyanosis (patient "blue").

surgical team and anesthesiologist
Some cases can be corrected by surgery

The implant of the "new" heart
Others do not. The heart procrastination as a camera car, increasingly losing power to contract. These patients do not live more than 40 years, unless they heart transplant.
Agrippina had one last chance to stay alive, came to us, that we INCOR. We could not disappoint.

In the post-operative
And we did! Here we are with Pina, very happy and recovered. "Proeza care? No way! Just doing our duty.

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