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Next generations of online multimedia training and education applications call for new approaches for the creation, storage, maintenance, commercial marketing, and publishing of multimedia content. The project "Gallery of Cardiac Surgery" (Cardio-OP) aims at the development of an Internet-based database-driven multimedia information system for physicians, medical lecturers, students, and patients in the domain of cardiac surgery. The research project has a volume of about 3.3 Million Euro and constitutes a total effort of about 41 person years. Scientific contributions of Cardio-OP include a new approach towards the organization and online distribution of multimedia content, its creation and authoring, and its maintenance in a multimedia repository. The resulting information system is intended to be applicable to other application domains, such as continuous education and training programs for employees in production processes. The paper presents details on the project background and motivation, overall goals and objectives, and outlines some of the approaches taken and results achieved.