First Live Tweet of an Open Heart Surgery

On February 21, 2012, Dr. Michael P. Macris, board-certified in cardiovascular and thoracic surgery, performed the first live surgical twittercast of a beating open heart surgery in the United States at Memorial Hermann Northwest Hospital in Houston, TX.

  1. Today, we provide an educational inside look into a common double bypass #surgery with live video and pics #MHopenheart
  2. Patient: M, 57 yr old with a blockage of the coronary artery. For patient privacy we are not disclosing name, other identifers #mhopenheart
  3. patient consented to this broadcast of his surgery, for protection his name will not be given. #mhopenheart twitpic.com/8mt1p6
  4. setting up a cardiac angiogram, this is used to prepare to reference targets during bypasses #mhopenheart twitpic.com/8mt7w6
  5. anesthesia by arterial line in wrist to check pressure, central line for fluid, TEE probe to view the heart/valves. http://www.youtube.com/watch?v=8ig8WvEbXYc
  6. Patient is now prepped with Chlorhexidine bit.ly/albRej chemical antiseptic from chin to toe #MHopenheart twitpic.com/8mtpp1
  7. Patient is supine, arms padded/tucked at side, leg bolster under legs to expose saphenous veins, roll is placed under chest. #mhopenheart
  8. Memorial Hermann NW #surgery team pauses, aka "time out" designed to make everyone slow down and review before starting.
  9. Today Dr. Macris will do a #doublebypass to restore circulation to heart using the patient’s saphenous vein along with his mammary artery.
  10. First Assistance begins surgery with endoscopic vein removal of the saphenous vein of the leg #mhopenheart twitpic.com/8mu4n6
  11. The great saphenous vein (GSV) is the large (subcutaneous) superficial vein of the leg and thigh #mhopenheart twitpic.com/8mu6f8
  12. To clarify: Last video shows reverse order (2 camera feeds together) 1st is dissection of mammary 2nd was opening of chest #mhopenheart
  13. RT @houstonhospital: With a mammary retractor, the mammary artery can be dissected completely under direct vision #mhopenheart twitpic.com/8mujb9
  14. Left Internal Mammary Artery (LIMA) is being dissected to be used as one of the vessels for the bypass #mhopenheart

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Memorial Hermann

Memorial Hermann is the largest not-for-profit healthcare system in Texas.

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