{"schema_version":"bookimed.page-context.v1","id":"clinic-zhejiang","url":"https://hub.bookimed.com/heart-surgery/clinic-zhejiang/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-zhejiang.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-profile","title":"Zhejiang Provincial People’s Hospital: heart surgery expertise","summary":"The Hangzhou team has published operations that relieve obstructive HCM through an incision near the right armpit. Its newer 100-patient MESM study reports early relief of obstruction while preserving the breastbone. An earlier study also treated abnormal mitral-valve supports that contributed to the blockage.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Relief of outflow obstruction","text":"In the 100-patient MESM study, the mean pressure gradient across the narrowed outflow fell from 85.8 to 8.4 mmHg. These were early postoperative results.","sources":["rank-cui100"]},{"label":"4–5 cm incision; breastbone intact","text":"The study used an incision near the right armpit. No patient in that series required conversion to sternotomy.","sources":["rank-cui100"]},{"label":"Reported HCM programme experience","text":"Practice experience, annual activity and individual study populations are shown separately with their sources.","sources":["rank-cui-mesm","cui-personal"]}],"benefits":[{"text":"Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity.","sources":["tp-cui100","br-sternum-gstt"]}],"limitations":[{"text":"In the 100-patient MESM series, four patients required a permanent pacemaker and no in-hospital deaths were observed. This selected, single-centre study reports early outcomes without a matched sternotomy group; zero observed deaths does not mean zero risk.","sources":["rank-cui100"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity. Sources: MESM: 100-patient observational study · Guy’s and St Thomas’: breastbone healing and movement after heart surgery Trade-offs and limits In the 100-patient MESM series, four patients required a permanent pacemaker and no in-hospital deaths were observed. This selected, single-centre study reports early outcomes without a matched sternotomy group; zero observed deaths does not mean zero risk. Sources: Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision","links":[{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Guy’s and St Thomas’: breastbone healing and movement after heart surgery","url":"https://www.guysandstthomas.nhs.uk/health-information/physiotherapy-heart-surgery"},{"label":"Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision","url":"https://doi.org/10.1016/j.athoracsur.2025.09.023"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work Portrait source ↗ Hangzhou · China cardiac surgeon Yong Cui → Yong Cui specialises in HCM myectomy through an underarm incision that preserves the breastbone. Published studies describe relief of obstruction and correction of associated mitral supporting structures. Sourced practice figures appear in the reported-experience comparison. Zhejiang Provincial People’s Hospital → Sources: An innovative minimally invasive approach for HOCM: transaortic septal myectomy via right infra-axillary incision · Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision View expertise and research →","links":[{"label":"Portrait source ↗","url":"https://dryongcuiheartsurgery.com/"},{"label":"Yong Cui →","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/"},{"label":"Zhejiang Provincial People’s Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-zhejiang/"},{"label":"An innovative minimally invasive approach for HOCM: transaortic septal myectomy via right infra-axillary incision","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11632347/"},{"label":"Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision","url":"https://doi.org/10.1016/j.athoracsur.2025.09.023"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside Yong Cui’s profile → Right infra-axillary transaortic myectomy with documented subvalvular work. 148 patients. September 2021–July 2023 · published 2024. Papillary resection in 72/148 (48.6%); chordal resection in 93/148 (62.8%); papillary reorientation in 15/148 (10.1%). Procedures overlap. Numerical follow-up duration was not specified in the inspected report. How to interpret this: Cui is senior/corresponding author; the full paper does not explicitly assign all operations to him personally. Selected single-centre approach series without a sternotomy control group. Pacemaker risk is affected by baseline conduction abnormalities. This is the earlier modified-Morrow series, not the newer 100-patient MESM series. Sources: An innovative minimally invasive approach for HOCM: transaortic septal myectomy via right infra-axillary incision · Yong Cui practice profile Read alongside Yong Cui’s profile → Electro-septal sculpting through a 4–5 cm right infra-axillary incision. 100 patients. November 2023–May 2024 · print publication 2026. A distinct newer technique cohort. The practice site describes a long electrocautery instrument; the study abstract reports aortic cross-clamping. Early postoperative outcomes; long-term duration unavailable in the abstract. How to interpret this: Cui is senior/corresponding author and the practice site’s technique proponent. Personal operator count is not established by the abstract. Abstract-only review. Do not sum this cohort with other publications or the practice website’s lifetime claims. Zero observed deaths does not mean zero risk. Sources: Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision · MESM: minimally invasive electro septal myectomy","links":[{"label":"Yong Cui’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/"},{"label":"An innovative minimally invasive approach for HOCM: transaortic septal myectomy via right infra-axillary incision","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11632347/"},{"label":"Yong Cui practice profile","url":"https://dryongcuiheartsurgery.com/"},{"label":"Yong Cui’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/"},{"label":"Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision","url":"https://doi.org/10.1016/j.athoracsur.2025.09.023"},{"label":"MESM: minimally invasive electro septal myectomy","url":"https://mesmsurgery.com/"}]},{"id":"treatment-programmes","title":"Treatment programmes and package prices","text":"Treatment programmes and package prices Hangzhou, China Yong Cui · HCM surgery ↗ Yong Cui Zhejiang Provincial People’s Hospital A 4–5 cm underarm incision keeps the breastbone intact: no divided breastbone to heal while you rebuild walking and everyday activity. $25,000–40,000 estimated cost USD · estimated programme range · updated 8 October 2026. Published 100-patient MESM series; separate 132-patient mid-cavity conference report and earlier 148-patient modified-Morrow study. See method, care and package ↗ Treatment programmes ↗","links":[{"label":"Yong Cui · HCM surgery ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/"},{"label":"See method, care and package ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/"},{"label":"Treatment programmes ↗","url":"https://hub.bookimed.com/heart-surgery/treatment-programmes/"}]}],"introduction":"Heart surgery guide / Zhejiang Provincial People’s Hospital Zhejiang Provincial People’s Hospital · Decision guide Zhejiang Provincial People’s Hospital: heart surgery expertise Hangzhou, China · HCM surgery through an underarm incision, with the breastbone preserved Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance The Hangzhou team has published operations that relieve obstructive HCM through an incision near the right armpit. Its newer 100-patient MESM study reports early relief of obstruction while preserving the breastbone. An earlier study also treated abnormal mitral-valve supports that contributed to the blockage. Relief of outflow obstruction In the 100-patient MESM study, the mean pressure gradient across the narrowed outflow fell from 85.8 to 8.4 mmHg. These were early postoperative results. Sources: Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision 4–5 cm incision; breastbone intact The study used an incision near the right armpit. No patient in that series required conversion to sternotomy. Sources: Minimally Invasive Electro Septal Myectomy for HOCM Through a Right Infra-Axillary Incision Reported HCM programme experience Practice experience, annual activity and individual study populations are shown separately with their sources. Sources: MESM: minimally invasive electro septal myectomy · Yong Cui practice profile Zhejiang Provincial People’s Hospital, Zhaohui campus, Hangzhou. Photo: Huandy618, January 2025 (CC0). · Image source ↗ Reported surgical experience 1,000+ septal myectomies Programme operations · Cumulative; counting cutoff not stated HCM myectomy programme using an underarm route that preserves the breastbone. MESM programme / Yong Cui ↗ · source read 2026-10-08 5,000+ Minimally invasive cardiac operations across conditions Programme operations · Cumulative; counting cutoff not stated Minimally invasive heart operations across conditions since 2018; this is broader than HCM. Yong Cui practice overview ↗ · source read 2026-10-08 250+ septal myectomies Programme operations · Calendar year 2024 · published 2025-01-31 · counting date 2024-12-31 Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included. 心有“勇”术｜崔勇：寻道创新，微步致远 ↗ · source read 2026-10-08 Compare septal myectomy experience →","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"minimally-invasive","title":"Minimally invasive and robotic heart surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/minimally-invasive/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/minimally-invasive.json"},{"id":"hcm-myectomy","title":"Septal myectomy for obstructive HCM: compare treatment options","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/hcm-myectomy/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/hcm-myectomy.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"doctor-yong-cui","title":"Yong Cui: septal myectomy and minimally invasive HCM surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-yong-cui.json"},{"id":"septal-myectomy-surgeon-comparison","title":"HCM and septal myectomy surgeon rankings: experience, methods and results","kind":"evidence-directory","url":"https://hub.bookimed.com/heart-surgery/septal-myectomy-surgeon-comparison/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/septal-myectomy-surgeon-comparison.json"},{"id":"treatment-programmes","title":"Heart surgery treatment programmes: doctors, packages and costs","kind":"treatment-listing","url":"https://hub.bookimed.com/heart-surgery/treatment-programmes/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/treatment-programmes.json"},{"id":"programme-cui-hcm","title":"HCM surgery with Yong Cui: breastbone-sparing, $25,000–40,000","kind":"treatment-programme","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/programme-cui-hcm.json"}],"entity":{"id":"zhejiang","name":"Zhejiang Provincial People’s Hospital — Cardiovascular Surgery","country":"China","city":"Hangzhou","surgeon_ids":["yong-cui"],"source_attested_services":["published transaortic septal myectomy via right infra-axillary incision","provider-described trans-axillary minimally invasive valve procedures"],"patient_task_fit":"HCM surgery through an underarm incision, with the breastbone preserved","source_ids":["rank-cui148","rank-cui100","cui-personal","rank-cui-mesm","cui-2024-volume"],"bookimed_route":null,"photo":{"source_page":"https://commons.wikimedia.org/wiki/File:Zhejiang_Provincial_People%27s_Hospital_01.jpg","width":3468,"height":4624,"alt":"Illuminated Zhejiang Provincial People’s Hospital building at its Zhaohui campus in Hangzhou.","caption":"Zhejiang Provincial People’s Hospital, Zhaohui campus, Hangzhou. Photo: Huandy618, January 2025 (CC0).","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/zhejiang-768x1024.jpg"},"value_headline":"HCM surgery through an underarm incision, with the breastbone preserved","value_summary":"The Hangzhou team has published operations that relieve obstructive HCM through an incision near the right armpit. Its newer 100-patient MESM study reports early relief of obstruction while preserving the breastbone. An earlier study also treated abnormal mitral-valve supports that contributed to the blockage.","comparison_question":"","highlights":[{"label":"148 patients in the earlier series","text":"The 2024 report covers right infra-axillary transaortic myectomy performed during 2021–2023.","source_ids":["rank-cui148"]},{"label":"Supporting structures treated","text":"Papillary resection occurred in 72 of 148 patients and chordal resection in 93 of 148; some patients received both.","source_ids":["rank-cui148"]},{"label":"A separate MESM study","text":"The newer 100-patient cohort evaluates extended septal sculpting and reports aortic cross-clamping; it is distinct from beating-heart transapical surgery.","source_ids":["rank-cui100"]}],"official_url":"https://dryongcuiheartsurgery.com/","guide_links":[{"slug":"latent-obstructive-hcm","label":"HCM anatomy and SAM"},{"slug":"surgeon-rankings","label":"Compare myectomy studies"}],"topics":["hcm","minimal"],"profile_slug":"clinic-zhejiang","comparison_answer":"The earlier infra-axillary series demonstrates combined septal and subvalvular correction through the same smaller access.","key_takeaways":[{"label":"Relief of outflow obstruction","text":"In the 100-patient MESM study, the mean pressure gradient across the narrowed outflow fell from 85.8 to 8.4 mmHg. These were early postoperative results.","sources":["rank-cui100"]},{"label":"4–5 cm incision; breastbone intact","text":"The study used an incision near the right armpit. No patient in that series required conversion to sternotomy.","sources":["rank-cui100"]},{"label":"Associated mitral anatomy can also matter","text":"The earlier 148-patient operation addressed abnormal valve-supporting muscles and cords when needed. It is a different technique and study from MESM.","sources":["rank-cui148"]}],"benefits":[{"text":"The earlier infra-axillary series demonstrates combined septal and subvalvular correction through the same smaller access.","sources":["rank-cui148","rank-cui100"]}],"limitations":[{"text":"In the 100-patient MESM series, four patients required a permanent pacemaker and no in-hospital deaths were observed. This selected, single-centre study reports early outcomes without a matched sternotomy group; zero observed deaths does not mean zero risk.","sources":["rank-cui100"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null},{"id":"treatment-programmes","title":"Treatment programmes and package prices","paragraphs":[],"items":[],"sources":[],"kind":"treatment-related","links":["treatment-programmes"],"table":null}]},"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"cleveland-2024-myectomy","provider_id":"nicholas-smedira","family":"hcm","subject_scope":"programme","measurement":"annual","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":201,"relation":"exact","display":"201","unit":"Septal myectomy with or without other procedures for HOCM","period_label":"Calendar year 2024","reported_as_of":"2024-12-31","method":"Programme total across septal approaches, including operations with associated procedures.","period_start":"2024-01-01","period_end":"2024-12-31","year":2024,"source":{"url":"https://consultqd.clevelandclinic.org/outcome-snapshots-thoracic-surgery-lung-transplant-more","title":"Cleveland Clinic 2024 HOCM data highlights","publisher":"Institution / clinical programme","published":"2025-08-27"},"checked_at":"2026-10-08"},{"id":"nyu-programme-cumulative","provider_id":"daniel-swistel","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":600,"relation":"more_than","display":"600+","unit":"Septal myectomy","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"NYU programme total; distinct from any one surgeon’s career experience.","source":{"url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program","title":"NYU HCM programme","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"cui-cumulative-hcm","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":1000,"relation":"at_least","display":"1,000+","unit":"HCM myectomies","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"HCM myectomy programme using an underarm route that preserves the breastbone.","source":{"url":"https://mesmsurgery.com/","title":"MESM programme / Yong Cui","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"cui-cumulative-mics","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"all_cardiac_mics","inclusion_scope":"isolated-and-combined","value":5000,"relation":"at_least","display":"5,000+","unit":"Minimally invasive cardiac operations across conditions","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"Minimally invasive heart operations across conditions since 2018; this is broader than HCM.","period_start":"2018","source":{"url":"https://dryongcuiheartsurgery.com/","title":"Yong Cui practice overview","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"hcm-yong-cui-programme-annual-2024-over250","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"annual","procedure":"septal_myectomy","value":250,"relation":"more_than","display":"250+","period_label":"Calendar year 2024","reported_as_of":"2024-12-31","year":2024,"period_start":"2024-01-01","period_end":"2024-12-31","method":"Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included.","programme_id":"zhejiang","excluded_from_surgeon_operator_ranking":true,"source":{"title":"心有“勇”术｜崔勇：寻道创新，微步致远","publisher":"严道医声网","published":"2025-01-31","url":"https://www.drvoice.cn/article/16542"},"checked_at":"2026-10-08","inclusion_scope":"isolated-and-combined","research_executor":"installed local Hermes AIAgent"}],"views":[{"id":"hcm-programme-annual-septal-myectomy-isolated-and-combined-2024","family":"hcm","scope":"programme","measurement":"annual","procedure":"septal_myectomy","year":2024,"title":"Programme operations · 2024 · septal myectomies","ranked":true,"count":2,"rows":[{"provider_id":"yong-cui","fact_id":"hcm-yong-cui-programme-annual-2024-over250","position":1,"position_min":1,"position_max":1,"value":250,"display":"250+","period":"Calendar year 2024","scope":"programme","procedure":"septal_myectomy","method":"Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included.","source_url":"https://www.drvoice.cn/article/16542"},{"provider_id":"nicholas-smedira","fact_id":"cleveland-2024-myectomy","position":2,"position_min":2,"position_max":2,"value":201,"display":"201","period":"Calendar year 2024","scope":"programme","procedure":"septal_myectomy","method":"Programme total across septal approaches, including operations with associated procedures.","source_url":"https://consultqd.clevelandclinic.org/outcome-snapshots-thoracic-surgery-lung-transplant-more"}]},{"id":"hcm-programme-cumulative-septal-myectomy-isolated-and-combined","family":"hcm","scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","year":null,"title":"Programme operations · Cumulative reported experience · septal myectomies","ranked":true,"count":2,"rows":[{"provider_id":"yong-cui","fact_id":"cui-cumulative-hcm","position":null,"position_min":1,"position_max":2,"value":1000,"display":"1,000+","period":"Cumulative; counting cutoff not stated","scope":"programme","procedure":"septal_myectomy","method":"HCM myectomy programme using an underarm route that preserves the breastbone.","source_url":"https://mesmsurgery.com/"},{"provider_id":"daniel-swistel","fact_id":"nyu-programme-cumulative","position":null,"position_min":1,"position_max":2,"value":600,"display":"600+","period":"Cumulative; counting cutoff not stated","scope":"programme","procedure":"septal_myectomy","method":"NYU programme total; distinct from any one surgeon’s career experience.","source_url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"}]}],"providers":[{"id":"yong-cui","name":"Yong Cui","clinic_id":"zhejiang","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-yong-cui.json"},{"id":"nicholas-smedira","name":"Nicholas Smedira","clinic_id":"cleveland","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-nicholas-smedira.json"},{"id":"daniel-swistel","name":"Daniel G. 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