Dr Emmanuel Coyote 👨🏻‍⚕️🐺🫀

Cardiovascular surgeon🫀 Passionate about learning 🤓 “It is impossible for a man to learn what he thinks he already knows” -Epictetus

[Dr Emmanuel Coyote 👨🏻‍⚕️🐺🫀 @dr_emm_ca]

“La causa de la mayoría de nuestros problemas radica en cómo percibimos las cosas, no en las cosas en sí mismas”

[Faisal Bakaeen MD @FaisalBakaeen]

This is how Dr. Donald Effler @CleClinicHVTI performed the Vineberg procedure. Notice the actively bleeding branches of the skeletonized distal part of the ITA that is pulled through the myocardial tunnel. Beautifully illustrated by Netter. Clin Symp. 1969 Jan-Mar;21(1):3-17

[George Tolis @georgetolisjr]

Many young cardiac surgeons think that most acute dissections need a total arch and all AVRs need a “root enlargement” unless they can get a Ross. That is the direct result of grandstanding “giants” in national meetings, often with very detrimental outcomes for patients.

[Dr Emmanuel Coyote 👨🏻‍⚕️🐺🫀 @dr_emm_ca]

@DoctorMed0

[The Doctor’s Lounge Podcast @DRsLoungePod]

The first coronary bypass wasn't Favaloro.

It wasn't DeBakey.

It was Vasily Kolesov.

A Soviet surgeon from Leningrad who performed a LIMA-to-LAD at least seven years before anyone the West recognizes.

Off pump.

No bypass machine.

The same surgeon who ran the hospital through the Nazi siege of Leningrad.

Through famine.

Through the worst conditions imaginable.

"He unfortunately died in relative obscurity because the West wanted this to be a Western thing."

From 1964 to 1967, the only place in the world you could get a coronary bypass was with Kolesov.

And almost no one knows his name.

Not because the science wasn't there.

Because it was the Cold War.

And we decided whose discoveries counted.

[Anish Koka, MD @anish_koka]

Dr. Tolis, @georgetolisjr one of the world’s best heart surgeons :

A smaller incision doesn't make it minimally invasive.
It makes it minimal access.

And a mini-AVR?

It actually hurts more than a standard sternotomy because you open the sternum AND break into the rib cage.

[Dr.Haitham Hamoud | د.هيثم @hemo_shk]

#Patients with severe respiratory distress , desaturated ?

#What is the diagnosis and name the sign?

[Jose M Martínez-Comendador @JMMComendador]

𝗥𝗵𝗲𝘂𝗺𝗮𝘁𝗶𝗰 𝗠𝗩 🫀
Age >60 should not automatically rule out repair. Anatomy, durability and expertise decide.
🩺 JTCVS: https://t.co/ZvWMvEfn0U
🔗 https://t.co/5HqBPl5IUK
#HeartSurgeryToday #SECCE #EACTS #ValveSurgery

[Jose M Martínez-Comendador @JMMComendador]

𝗠𝗶𝘁𝗿𝗮𝗹 𝗿𝗲𝘂𝗺á𝘁𝗶𝗰𝗮 🫀
60 años: la edad no debería cerrar la puerta a reparar. Anatomía y durabilidad mandan.
🩺 JTCVS: https://t.co/ZvWMvEfUQs
🔗 https://t.co/g8XSXDWjAo
#HeartSurgeryToday #SECCE #EACTS #ValveSurgery

[George Tolis @georgetolisjr]

https://t.co/rhes3jriyH

As we celebrate another anniversary of Favaloro’s remarkable accomplishment, let’s not forget who performed the first CABG in February of 1964.
Kolesov was a medical pioneer and a war hero.

[Ahmed K. Awad, MD @ahmedawadmd]

Dr. Bakaeen already made the case for CABG while debating ACC president Dr. Mehran. With a market capitalization exceeding $1T, PCI treats today’s lesion - while CABG treats today’s and tomorrow’s. If you missed the talk, the recording is worth a watch. #AATS2026 #AATS

[CardiovascularCorner @TrackYourHeart]

What's happening here?
📸: @marcelohaertel

[Rakan I. Nazer راكان بن ابراهيم ناظر @RakanINazer]

I’m glad that this topic is being openly discussed in public. The hype for new approaches and procedures could come at a cost.

[Dr Ihab Suliman @IhabFathiSulima]

False Aneurysm vs True Aneurysm.

[CardiovascularCorner @TrackYourHeart]

Sound on 🔊
This is not an LVAD. This is a Total Artificial Heart.
⚫Replaces both ventricles
⚫Delivers pulsatile flow (~7–9 L/min)
🌑Used as a bridge to transplant in advanced biventricular failure

[CardiovascularCorner @TrackYourHeart]

Leonardo da Vinci described the heart as vortex-oriented around 1512–1513, suggesting that blood flows in spiral patterns through the ventricles and forms vortices in the aortic sinuses, which are essential for closing the aortic valve, rather than flowing in a simple, straight line.

Modern 4D-MRI and fluid modeling techniques have confirmed these predictions 500 years later, proving that the heart acts as a biological vortex generator, improving efficiency and reducing energy loss.

[Alejandro Macias @doctormacias]

CERO casos de cáncer cervical diagnosticados en mujeres menores de 25 años en Australia 🇦🇺

Ninguno. Nada. Cero.

¡Por primera vez desde que comenzaron los registros!

¿Cómo sucedió esto?

Una palabra:

¡VACUNAS PAPILOMA!

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Eight-Direction Needle Driving

👉Eiji Happō (永字八法) is a calligraphy concept in which the character 永 contains the eight fundamental brush directions.
👉The same principle can be applied to needle work: the needle should move smoothly and intentionally in multiple directions.

[Ovidio García @ovidiogarciav]

Cirujanos vs intervencionistas no es un debate técnico. Es una disputa superficial que evade el problema real: quién está preparado —intelectual, técnica y moralmente— para hacerse responsable de la totalidad del paciente cuando todo se complica.
Hay debates en medicina (1/n)...

[Orlando RPN @OrlandoRPN]

ECMO VV en el Instituto de Cardio “Ignacio Chávez”, liderado por Gustavo Rojas, 70% de supervivencia 👏

Pocos (en Mx) se atreven a publicar sus resultados y en ellos son excelentes, Felicidades!

@DrCriticalCare

https://t.co/i4z4cVnUnD