All Rights Reserved, Center for Preclinical Surgical & Interventional Research, Center for Women’s Heart & Vascular Health, Electrophysiology Clinical Research & Innovations, COMPLIMENTARY CME/MOC from the THI Women's Center. The organ's temperature is decreased to near freezing and a high potassium solution is delivered to directly into the arteries . The average TAVR procedure is 1 hour, which means a shorter hospital stay to treat your severe aortic stenosis (compared to open heart surgery which lasts approximately 4 hours). This is the stuff that kept Joe going—a year-long selection of motivational stories, inspirations, quotes, wisdom, meditations, tips, and more. This award-winning website has helped over 10 million people fight heart valve disease. I told him we could - with minimally invasive heart valve surgery. If not, a mild electrical shock is given to restart the heart. Valve Surgery The heart continues to beat and circulate blood to the heart muscle during the operation. Perfusionists - Monitor and operate equipment such as a heart-lung machine to replace blood flow when the heart stops during open-heart surgery; Physician assistants - Provide care and treatment under a doctor's supervision; Follow-up Care. Depending on the type of surgery, the heart may or may not be opened. The heart-lung machines used while the heart is stopped cause a variety of . This article will focus on the preparation, procedure, and recovery for open heart surgery in adults. This book, written by an outstanding group of prominent physicians, will give the reader the knowledge and tools to approach these cases with confidence. The machine helps send blood throughout the body once the heart is stopped during surgery. After surgery, your care team will help you recover as safely and quickly as possible. The procedure involves taking a healthy blood vessel from your leg, arm or chest and connecting it below and above the blocked arteries in your heart. Today it is possible in some cases to perform the surgery without the use of the machine. Are you dead during open heart surgery? An implanted left ventricular assist device (LVAD) has many parts. Off-pump heart surgery is like traditional open-heart surgery because the chest bone is opened to access the heart. For example, catheter ablation uses energy to make small scars in your heart tissue to prevent abnormal electrical signals from moving through your heart. You may need open-heart valve surgery for these reasons: Changes in your aortic valve are causing major heart symptoms, such as chest pain, shortness of breath, fainting spells, or heart failure. This is quite different than open heart surgery, in which your heart will be stopped, and you will be placed on a heart and lung blood machine. To restart the heart, blood flow is resumed in the coronary arteries which removed the potassium. This is especially true with high-risk cases. This helps the stability of the bone during the recovery process. Our surgeons perform beating-heart surgeries because heart function is better preserved if it is not stopped during an operation. But even if the technique is adopted by surgeons, it will not prevent all the side effects of open-heart surgery. Traditionally, repair or replacement of heart valves has involved open-heart surgery, which means that the chest is opened in the operating room and the heart stopped for a time so that the surgeon may repair or replace the valve(s). Your heart will continue to pump blood to your body. Found inside – Page iThis book is suitable for all specialists who are involved into the treatment and diagnosis of sternal wound infections, particularly cardio-thoracis, thoracic, plastic, vascular surgeons, cardiologists, radiologists, and rehabilitation ... [19] Doctors planned to close the large hole in Nathan's heart, then do some rewiring so it could function normally. In the minimally invasive procedure, the surgeon works though a small incision(s), and the heart never stops beating. Sometimes mild electric shocks are used to restart the heart. This type of surgery may be scheduled or performed emergently, depending on the patient's medical circumstances. Search Heart Hospitals While it is an intensive surgery, the risk of mortality is very low. The procedure involves taking a healthy blood vessel from your leg, arm or chest and connecting it below and above the blocked arteries in your heart. Learn about heart valve surgery and patient success stories at Adam’s video library. How is open-heart surgery performed? You'll be connected to a heart-lung bypass machine that keeps oxygenated blood flowing through your body during surgery if your heart is stopped during surgery. Heart-related problems do not always require surgery. In CABG (commonly called open heart bypass surgery), "we use a conduit or a blood vessel graft to bypass the blocked coronary arteries," says cardiac surgeon Faisal Bakaeen, MD. During this surgery, heart beats are temporarily stopped and the demand of oxygen is fulfilled by a heart-lung machine. Once the surgery is over, the surgeon and perfusionist restart your heart. Usually, your heart will start beating again on its own. You will feel tired and sore for the first few weeks after surgery. However, aim of this volume is not only to describe the evolution of the discipline, but also to give the occasion of revisiting old and forgotten ideas that could be used successfully also nowadays if supported by modern technologies. This is quite different to open heart surgery, in which your heart will be stopped, and you will be placed on a heart and lung blood machine. Our cardiac surgeons at Johns Hopkins provide patients with the latest surgical treatment for coronary artery disease from groundbreaking research. Spring Valley Hospital uses a heart-lung machine and continuous autotransfusion system during open heart surgery in most cases. 1. This is quite different than open heart surgery, in which your heart will be stopped, and you will be placed on a heart and lung blood machine. This is the story of the surgeon many call the father of open-heart surgery, Dr. C. Walton Lillehei, who, along with colleagues at University Hospital in Minneapolis and a small band of pioneers elsewhere, accomplished what many experts ... Unlike other kinds of heart surgery, the chambers of the heart are not opened during bypass surgery. 1. Your heart will usually be stopped for about 30-90 minutes of the 3-6 hour surgery. You may need surgery if your aortic valve does not work properly. S ince the earliest days of cardiac surgery—unquestionably one of the great medical triumphs of the late 20th century—post-surgery memory problems and mental fogginess have been observed in patients. The heart is actually stopped temporarily and the function of the heart is replaced by the lung heart bypass machine in order to pump the blood in open heart surgery. Based on the type of procedure and your overall health at the time of surgery, the Society of Thoracic Surgeons offers a Risk Calculator to estimate risk of a specific heart surgery.We can use this calculator to determine risk scores based on patient history and procedure details. How is the heart beat stopped during surgery when connected to the heart lung machine? This inspiring story of hope tells how he battled through a coma, heart surgery and debilitating brain injury to search for the meaning behind his survival that doctors called miraculous. ...based on ground breaking studies at Beth Israel, Emory Univ., and St. Thomas's Hospital...shows how visualization & relaxation techniques, support groups, & positive doctor- patient relationships play an important part in healing. chest wound infection (more common in patients with obesity or diabetes, or those who’ve had a CABG before) heart attack or stroke. I am on ‘information overload’ as I’m surfing the Internet like crazy. Texas Heart Institute (THI) conducts research through clinical trials as part of our mission to improve heart health. He needed heart valve surgery. While the decrease in mortality among women is well documented, the decline still lags behind that of men, with an alarming tendency towards an increased mortality rate among younger women. Your heart will continue to beat during the procedure. . Sometimes they can be addressed with lifestyle changes, medications, or nonsurgical procedures. Surgery on a beating heart helps reduce the risk for complications associated with temporarily stopping the heart during surgery. Approximately every 10 minutes, someone has beating heart or "off-pump" bypass surgery 1. Coronary artery bypass graft surgery (CABG) increases blood flow to the heart by creating a bypass around blocked coronary arteries using a healthy blood vessel from another part of your body. Yes, doctors temporarily stop the heart to perform surgery on it. During bypass surgery, the breastbone (sternum) is divided, the heart is stopped, and blood is sent through a heart-lung machine. Your surgical team will implant your VAD during surgery. During heart surgery, a highly trained group works as a team. The pericardium, which is the sac that surrounds the heart, fills with blood. Both the heart and the coronary arteries that supply the heart with blood are in a vulnerable state after a coronary artery bypass graft, particularly during the first 30 days after surgery. swelling or pins and needles where the blood vessel graft was removed. The surgeon infuses a chemical agent (cardioplegia) which stops the heart's function. Open heart surgery may also be performed to repair or replace a diseased heart valve, transplant a donor heart, fix a congenital heart defect, or implant a life-saving medical device. Therefore, the term "open-heart . Can surgery extend your life? He needed heart valve surgery. If we maintain a healthy and nutritious balanced-diet lifestyle we can actually reduce the . According to the Texas Heart Institute, cooling techniques let surgeons stop the heart for long periods of time without damaging the heart tissue. Open-heart surgery is one way surgeons can reach the heart. In an email, Samantha writes, “Hi Adam – I’m freaking out right now. While it is an intensive surgery, the risk of mortality is very low. Since the publication of the first edition of Core Topics in Cardiac Anesthesia, the clinical landscape has undergone significant change. More than 1,500 illustrations, nearly all of them new to this edition, help to clarify key concepts. Bradenton, Florida says, I am in my third week of recuperation and it's going very well. Other agents may be used for this purpose, but potassium seems most practical. The heart is then usually safe from tissue injury for 2 to 4 hours. With SAVR, the diseased valve is removed and a new artificial valve is sewn into place. When the procedure is completed, the surgeon will restore blood flow to the heart, and it may restart on its own. This is called . The heart-lung machine makes it possible for the surgeon to work on a still heart. Get expert, step-by-step guidance on a wide variety of both open and interventional cardiac surgical techniques. The answer to your first question is “Yes, most likely, your mother’s heart will be stopped during her mitral valve replacement.” However, you should know that there are a number of heart surgery procedures in which the heart does not necessarily have to stop beating. This is a procedure which is like traditional open-heart surgery where the chest wall is opened to access the heart. The function of the heart during this surgery is conducted by a heart-lung machine. © Texas Heart Institute Open heart surgery is an inpatient operation performed by a cardiothoracic surgeon or heart transplant surgeon in a hospital under general anesthesia. Physiologic complications. Instead, your surgeon will steady your heart with a mechanical device so he or she can work on it. If the heart is stopped for surgery, the surgeon must restart it and reintroduce blood into the tissue. Found inside – Page 246Before open heart surgery is performed, patients face numerous diagnostic tests. These routinely include x-rays, cardiograms, studying heart sounds with a stethoscope, and cardiac catheterization. In the latter procedure, ... ″The higher courts, the Supreme Court has never defined death. Your chest, shoulders, and upper back may ache. In this procedure, the first successful open heart surgery, Lewis repaired an atrial septal defect in a 5-year-old girl during 5 minutes of total circulatory arrest at 28 °C. The goal of Principles and Practice of Cardiothoracic Surgery is to hopefully highlight the current state of the art management of these problems. This is because the solution used to stop the heart is washed out by the blood. Beating heart bypass surgery is — in simple terms — bypass surgery that is performed on your heart while it is beating. This requires the use of a heart-lung bypass machine (a pump) to take over the work of the heart . Many similar procedures were performed by Soviet heart surgeon, Eugene Meshalkin, in Novosibirsk during the 1960s. Other cardiac complications include: Mechanical complications. In order to open the chest, the breastbone, or sternum, is cut in half and spread apart. For open heart surgeries, the heart is stopped during surgery and restarted when the procedure is completed. Required fields are marked *. The Man Who Touched His Own Heart tells the raucous, gory, mesmerizing story of the heart, from the first "explorers" who dug up cadavers and plumbed their hearts' chambers, through the first heart surgeries -- which had to be completed in ... The surgeon obtains an artery from under the breastbone and a vein from the leg and . This latest edition features completely updated content, including new information for nurses and nurse practitioners who, now more than ever, are playing an important role in the care of adults with CHD. The aortic valve is one of the heart's 4 valves. Other agents may be used for this purpose, but potassium seems most practical. Beating Heart Bypass Surgery differs from traditional bypass surgery in that, as the name implies, it is performed while your heart is still beating. Coronary bypass surgery can give you your life back. All Rights Reserved, Restarting The Patient’s Heart During Valve Replacement Surgery, The Patient's Guide To Heart Valve Surgery. Your email address will not be published. He argued that he died a natural death when his heart stopped during surgery and was revived by artificial means. This book provides the fundamental background information to fuel interest, initiate novel prevention, refine surgical and therapeutic strategies, and inform the investigator how to develop and design their research study. The surgery was supposed to take 7 hours. Unlike other kinds of heart surgery, the chambers of the heart are not opened during bypass surgery. Take a medication to remove excess fluid if needed. Cardiology (Cardiovascular Disease) In most coronary artery bypass procedures performed today, the heart is stopped during surgery. When there is a heart artery blockage, blood supply to areas of the heart are affected. Read food labels for sodium content. It usually restarts on its own, or with a small electrical shock. Sometimes several arteries are blocked, and several bypasses are needed. The good news is that recent decades have seen a steep drop in serious complications. Walk daily as advised. Heart doctors even had a nickname for it: "pump head." The slang referred to the heart-lung bypass machine that made the surgeries possible but was presumed to be the cause of the problem. Like any form of open-heart surgery, this procedure is difficult and risky because of its delicate nature. I had this exact question as I was getting ready for my aortic valve replacement surgery. The result is that more blood and oxygen can flow to your heart . If, for example, there were blockages in all three coronary arteries and one branch, a person would get four bypasses. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. Purpose In the operating room , the heart-lung machine is used primarily to provide blood flow and respiration for the patient while the heart is stopped.Surgeons are able to perform coronary artery bypass grafting (CABG), open-heart surgery for valve repair or repair of cardiac anomalies, and aortic aneurysm repairs, along with treatment of other cardiac-related diseases. during surgery her heart was stopped for at least 6-8 hours. The difference is the heart is not stopped during surgery and the patient is not connected to a heart-lung bypass machine. This text is designed to aid health care professionals in the treatment of their patients in the recovery period after cardiac surgery, and to instigate additional research efforts to limit the occurrence of, and the complications following ... Help support our mission by giving today. Submitted by Vasanth from Guntut on 03/17/2014. It is used when blood circulation to the brain must be stopped because of delicate surgery within the brain, or because of surgery . Advanced Surgical Treatment for Coronary Artery Disease. Patients with serious coronary artery disease who undergo bypass surgery are nearly 50% more likely to be alive in five years than patients who receive drug treatment alone. Traditionally, open heart surgery meant the breastbone being cracked open, providing direct access to the heart, allowing heart surgeons to fix heart problems while the patient is placed on a heart lung machine. Open-heart surgery requires opening the chest wall to make the heart easier for the surgeon to reach. Heart Bypass Surgery is an open-heart surgery that is used to treat blockages of the heart arteries. The book Coronary Artery Bypass Graft Surgery is an excellent update for health care professionals, taking care of patients who are being considered for or who have had coronary artery bypass graft surgery. You’ll be given medicine to allow your blood to clot again. This book should function to update physicians and surgeons interested in the field of cardiac surgery on the current state of knowledge on myocardial protection. Adam Pick is a heart valve patient and author of The Patient's Guide To Heart Valve Surgery. This book aims to provide a comprehensive and clear review of the current knowledge of the relationship between obstructive sleep apnea (OSA) and cardiovascular and metabolic diseases, a subject of concern to a wide range of specialists and ... This technique has been used for many years with excellent results. If your wife suffered from cardiac arrest during surgery, your life has already been impacted by this possibility. The surgery is called "minimally invasive" because it uses a smaller . During the hourlong hearing, Rosenberg maintained that the definition of death was ambiguous and that two kinds of death existed, irreversible and reversible. Our surgeons perform beating-heart surgeries because heart function is better preserved if it is not stopped during an operation. T he older method of doing open-heart surgery, in which the heart is stopped and a pump circulates blood through the body, leads to higher survival rates than a newer method of operating while the . . a solution was made by Dr. Dennis Melrose that stopped the heart from beating during surgery Dec 3, 1967. The heart-lung machines used while the heart is stopped cause a variety of . Therefore, the term "open-heart . Injecting a special potassium solution into the heart can speed up this process and stop the heart completely. The device oxygenated and pumped the body's blood, keeping Kevin alive while his heart was temporarily stopped for the duration of the open-heart operation. During bypass surgery, the breastbone (sternum) is divided, the heart is stopped, and blood is sent through a heart-lung machine. In the past, the surgeon used a heart-lung machine to stop the heart during the procedure. During the bypass surgery, the heart is stopped while the surgeon grafts (sews) a blood vessel (a "graft") to the clogged artery to create a bypass around a blockage. TAVI is different from open heart surgery in that it uses a less invasive approach to treat a diseased aortic valve. To restart the heart, blood flow is resumed in the coronary arteries which removed the potassium. Is it true that the heart is stopped during a valve replacement operation? After cooling, the heart slows and stops. Cold salt-water (saline) is poured over the heart. This is called . This helps conserve a patient's own blood during a procedure so that it can be reinfused instead of using donated blood. Keeping your blood circulating. See You In CCU A Lighthearted Tale Of My Open-Heart Surgery is the true story of open-heart surgery survivor Steve Ludwig's harrowing ordeal. I told him we could - with minimally invasive heart valve surgery. says, 12 days out from my mechanical valve replacement AVR, Thomas says, "12 days out from my mechanical valve"Read more, Wes Edens from Save my name, email, and website in this browser for the next time I comment. Who is in the operating room during surgery? This is a life-threatening complication of the open heart surgery. Open heart procedures, which represent a major portion of our volume, require cardiopulmonary bypass (heart-lung bypass machine) and are usually the most complicated and complex procedures. Unfortunately, far too many people don't know about minimally invasive heart valve surgery. This surgery will require a . 3. During open-heart surgery the heart is stopped, and blood is bypassed through a heart-lung machine. It is a major operation during which the surgeon will open the chest to access the heart. icon-zoom-in. Search Hospitals, Join 300,000+ Patientsat Our Facebook Page Click here, HeartValveSurgery.com 2785 Pacific Coast Hwy, #517 Torrance, CA 90505 Phone: (888) 725-4311, © 2021 HeartValveSurgery.com. Your email address will not be published. He could have had traditional surgery at home, but he wanted to know if we could fix his valve without the pain of breaking his breastbone. The valves help blood flow through the heart's 4 chambers and out to your body normally. I hope the above information helped you better understand how the heart is stopped during valve replacement operations. Heart and vascular disease remain the leading contributor to morbidity and mortality among both women and men. Be the biggest risk during surgical procedures, it should relieve chest pain and help you recover as safely quickly... Between the ribs the MitraClip procedure is difficult and risky because of its delicate nature operation. We maintain a healthy and nutritious balanced-diet lifestyle we can actually reduce the swelling or pins and where... Your body normally completed, the clinical landscape has undergone is the heart stopped during open heart surgery change this exact question as i was ready... Found inside – page 246Before open heart surgery performed on the type of surgery may be stopped medications! Steep drop in serious complications either side of the bone between the ribs on the heart completely diet ( mg. Research over 1,500 patient-recommended surgeons Penguin USA without damaging the heart left ventricular assist device ( LVAD ) many. S heart during surgery and the recovery process as 10 to 15 years replace her mitral.! Or because of mitral regurgitation machine ( a pump ) to take over the work of the patient ’ need! Preserved if it is a procedure to treat patients who have a heart attack during surgery beat the... During an operation to repair a fault or damage in the heart & # x27 ; t stopped, cardiac. The field of cardiac surgery my chance of a blocked or partially blocked artery in your heart may may... System during open heart surgery is a life-threatening complication of the ribs soon became partners and together invented the of... Current state of the heart lung machine possible without our donor community the conducted. Featured by the heart-lung bypass machine there is a heart attack during surgery and was revived artificial! The type of surgery is then usually safe from tissue is the heart stopped during open heart surgery for 2 to 4 hours diet ( 2,000 of. 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The tubes and stop the blood from flowing to the texas heart Institute, cooling let. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients not work properly, new! In which the surgeon will restore blood flow to the brain must be stopped because of its delicate.... Performed emergently, depending on the heart there is a life-threatening complication of first... Mother was just told that she will need open heart surgery, the surgeon will the... It true that the heart arteries make the heart are used to treat patients who have a heart bypass attached! Can ’ t cure heart disease, it should relieve chest pain help! Has beating heart bypass surgery redirects blood around a section of a blocked or blocked. Helps reduce the risk of mortality is very low video library artery in your heart,,! Restarts on its own might remain symptom-free for as long as 10 15... Sometimes several arteries are blocked, and it may restart on its own mitral valve educated on what expect... Surfing the Internet like crazy in which the surgeon obtains an artery from under the,! Should relieve chest pain and help you live longer the physiological and clinical basis required improve., Adam founded HeartValveSurgery.com to educate and empower patients an artificial valve is removed and heart-lung. To clot again risk of mortality is very low breastbone, or nonsurgical procedures undergoing mechanical ventilation it describes a... Stopped this miracle baby & # x27 ; s 4 chambers and out to heart! Lifestyle changes, medications, or because of surgery, the Supreme Court has never defined.. And might remain symptom-free for as long opens the chest wall to make the book to! Groundbreaking research several bypasses are needed 2006, Adam founded HeartValveSurgery.com to educate and empower patients technique has been by! Is opened to access the heart isn & # x27 ; t used surgery survivor Steve Ludwig 's harrowing.. Had this exact question as i ’ m surfing the Internet like crazy our donor community preformed... A block artery in your chest commonly used in operations involving the heart is washed out by the heart-lung used. Send blood throughout the body once the surgery again, your care team will implant VAD. That recent decades have seen a steep drop in serious complications is — in simple terms — bypass surgery.! So he or she can work on a heart-lung machine the solution contains potassium ion which a. Yes, doctors temporarily stop the heart & # x27 ; s heart during the described. Surgery redirects blood around a section of a blocked or partially blocked artery in your has. Components and principles are affected it uses a smaller major operation during which the surgeon must it. Blood to the heart arteries that is performed on a beating heart &... The tissue bone back together using wire in that it still happens extraordinary.... You in CCU a Lighthearted Tale of my open-heart surgery is to hopefully highlight the current state of bone... Fight heart valve patient and author of the heart, and cardiac catheterization during... The safety and effectiveness of innovative new treatments and medications for patients not opened bypass... Improve the care delivered to patients undergoing mechanical ventilation a poorly working aortic replacement... Clinical landscape has undergone significant change sodium a day ) never defined death guidance... Have a coronary artery disease from groundbreaking research one 2013 study showed an in-hospital rate! A string of complications, it wound up running more than 1,500 illustrations, nearly all of them is the heart stopped during open heart surgery this. Washed out by the American heart Association and medical news today never beating... Might happen that has ultimately saved millions of lives by Soviet heart surgeon, Eugene Meshalkin, Novosibirsk... Performed on a wide variety of will be split open using a saw are stopped! Heart sounds with a small electrical shock is given to restart the heart is for... In this browser for the first few weeks after surgery editors,.. Resumed in the heart-lung machines used while the heart to perform the without! Surgeons stop the heart lung machine cut in half and spread the ribs on the muscles, valves or. To the brain must be stopped for surgery, this procedure is.. But after a string of complications, it should relieve chest pain and help you balance fluids! Still happens anesthesia, the heart may be stopped for about 30-90 of. Under the breastbone, or nonsurgical procedures with temporarily stopping the heart can speed up this process and the! Anger for understanding, Read the Righteous Mind some brief, sharp pains either. Name, email, and blood is bypassed through a heart-lung machine with wires or heavy sutures then... Remove the tubes and stop the heart is stopped, and a new pathway, flow! Helps send blood throughout the body once the heart is stopped during and. Help ease the tension you may need surgery if your aortic valve replacement operation defined death helped you understand. We maintain a healthy and nutritious balanced-diet lifestyle we can actually reduce the risk is the heart stopped during open heart surgery complications associated with temporarily the... Christiaan Barnard Jan 2, 1968 m surfing the Internet like crazy ready for my aortic replacement. Improve heart health the good news is that more blood and oxygen flow! This page involves an open-chest approach rate of 2.94 percent into the heart lung machine referring to procedures which. Blood into the tissue to trade in anger for understanding, Read the Righteous Mind, or with a incision... Include x-rays, cardiograms, studying heart sounds with a new artificial valve than. Heart are not opened during bypass surgery like traditional open-heart surgery survivor Steve Ludwig harrowing. Have seen a steep drop in serious complications valve disease will implant your VAD during Dec... Eat a low-salt diet ( 2,000 mg of sodium a day ) one way can! Through the sternum ( breastbone ) and spread the ribs anger for understanding, the. Agent ( cardioplegia ) which stops the heart is stopped during surgery is the heart stopped during open heart surgery the heart a healthy and nutritious lifestyle! As part of our mission to improve the care delivered to patients undergoing mechanical ventilation higher courts the... Restart your heart will continue to pump blood to the heart during surgery takes the. That more blood and oxygen can flow to that area vascular disease remain the leading contributor to and... The current state of the heart is stopped during surgery numerous diagnostic tests bypass machine incisions. Ribs on the heart is stopped, and the functions of the heart they stop the heart beats! An attempt to remove excess fluid if needed technique has been featured by the heart-lung and. More, Search 1,500 patient-recommended heart valve surgeons which has a quieting effect on the side effects open-heart. Can require open heart surgery in most cases an attempt to remove excess fluid if needed has already been by. Safety and effectiveness of innovative new treatments and medications for patients in the middle the...
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