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CARDIAC SURGERY: MODERN ADVANCES AND CLINICAL SIGNIFICANCE

Abstract

Cardiac surgery has undergone remarkable advancements over the past decades, significantly improving the diagnosis, management, and prognosis of various congenital and acquired heart diseases. Modern surgical techniques, including minimally invasive procedures, robotic-assisted interventions, and enhanced perioperative care, have substantially reduced operative risks and postoperative complications, thereby improving patient outcomes. In pediatric cardiology, timely surgical intervention is often critical for the survival and long-term functional development of children with congenital heart defects. This review highlights recent innovations in cardiac surgery, emphasizing their physiological rationale, clinical applications, and impact on patient care. Particular attention is given to the integration of advanced imaging modalities, intraoperative monitoring, and cardiopulmonary bypass strategies that optimize surgical precision and safety. Understanding the cellular and systemic responses to surgical stress, ischemia-reperfusion injury, and myocardial protection techniques is essential for tailoring individualized treatment plans and enhancing recovery. Overall, contemporary cardiac surgery represents a dynamic field in which technological innovation, evidence-based practice, and multidisciplinary collaboration converge to improve both short- and long-term cardiovascular outcomes.

Keywords

Cardiac surgery, pediatric cardiology, congenital heart defects, minimally invasive surgery, robotic-assisted surgery, myocardial protection, perioperative care, ischemia-reperfusion injury, surgical outcomes, advanced imaging, cardiopulmonary bypass, clinical innovations

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References

  1. Braunwald, E. (2019). Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine (11th ed., pp. 1083–1102). Philadelphia: Elsevier.
  2. Lilly, L. S. (2016). Pathophysiology of Heart Disease (6th ed., pp. 92–115). Philadelphia: Wolters Kluwer.
  3. Kumar, V., Abbas, A. K., & Aster, J. C. (2020). Robbins and Cotran Pathologic Basis of Disease (10th ed., pp. 543–556). Philadelphia: Elsevier.
  4. Guyton, A. C., & Hall, J. E. (2021). Textbook of Medical Physiology (14th ed., pp. 245–260). Philadelphia: Elsevier.
  5. Park, M. K. (2020). Pediatric Cardiology for Practitioners (7th ed., pp. 167–189). Philadelphia: Elsevier.
  6. Kloner, R. A., & Jennings, R. B. (2001). Consequences of brief ischemia: stunning, preconditioning, and their clinical implications. Circulation, 104(24), 2981–2989.
  7. Sajja, L., & Vasan, R. S. (2020). Innovations in coronary artery bypass grafting and valve surgery. Journal of Thoracic and Cardiovascular Surgery, 160(6), 1450–1465.
  8. Gammie, J. S., & Smith, P. K. (2018). Minimally invasive and robotic-assisted cardiac surgery: clinical applications and outcomes. Circulation Research, 123(10), 1157–1172.
  9. McMullan, D. M., & Moller, J. H. (2019). Pediatric cardiac surgery: congenital heart defects and surgical management. Pediatric Clinics of North America, 66(5), 905–923.
  10. Mehra, M. R., & Uriel, N. (2017). Mechanical circulatory support in advanced heart failure: LVAD and transplant strategies. New England Journal of Medicine, 376(5), 440–451.

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