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Ann Thorac Surg 2001;71:407-408
© 2001 The Society of Thoracic Surgeons
a Cardiothoracic Surgery, Rapid City Regional Hospital, Rapid City, South Dakota, USA
Address reprint requests to Dr Pezzella, Cardiothoracic Surgery, Rapid City Regional Hospital, 2880 Fifth St, Rapid City, SD 57701
e-mail: tpezzella@rcrh.org
Safely returned from distant lands a man with joy is welcomed by his friends and kin. So too, a good man who has left this world, by his good deeds is welcomed in the next. The Dhammapada
One of the results of the big bang theory was the solar system and the creation of the planet Earth, now more than 4.5 billion years old [1]. Man appeared around 2.5 million years ago. As we enter the 21st century, 6 billion people occupy this planet. Yet less than 20% of the population consumes more than 80% of the worlds resources. Certainly, no one individual group, country, or organization of countries, eg, the United Nations, can change or reverse that trend. However, just as that one heroic Chinese citizen halted a parade of advancing tanks in Tiannemen Square, so too, bold individual initiatives can make an immediate and lasting impact.
The performance of cardiac surgical procedures with cardiopulmonary bypass was a significant medical advance benefiting millions of people during the last half of the 20th century. Currently, 1 to 1.5 million open-heart operations are done annually in more than 2,500 centers by more than 5000 cardiac surgeons worldwide. However, the majority of these operations are performed in the economically advanced countries whose population base is 500 million people. The rate of growth
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