Chapter 17: Unprecedented
“Are you all here?”
In the Cardiac Surgery Conference Room of the Seventh Hospital, almost all the people in charge of this meeting are the well-known chief physicians of the Seventh Hospital, and many of them are also cardiac surgery experts.
“It’s almost there. Lao Ma said he invited an expert from a city hospital this time. Why hasn’t he arrived yet?”
Yu Dongwen, the vice-president of the Seventh Hospital, glanced at his watch, less than a few hours before the meeting.
“Doctor Luo, you call the dean’s office.”
“good!”
As soon as Luo Yunqi picked up the phone, one person pushed the door and walked in. All the professors looked towards each other.
“Young man, which department do you belong to?”
Liu Xin took a few steps back, glanced at the sign on the door, and laughed at the second meeting room.
“I belong to the city hospital, and President Ma asked me to come over to participate in this seminar.”
Everyone looked at each other.
“you?”
“Lao Yu, did you make a mistake? Didn’t Ma said that he hired an expert?”
“Don’t worry, I’ll call and ask.”
Yu Dongwen called Dean Ma and returned to the office after a while.
“Yes, Dr. Liu Xin, right? Please come in.”
Everyone was surprised. This young man appeared to be only in his early twenties, younger than the few doctors who practiced in the hospital. How could he become an expert in heart surgery at the city hospital.
“That’s right, Dean Ma ordered it. This doctor was the number one in the previous city competition. He also said that he has a unique understanding of heart disease. Since it is correct, then we can start.”
Everyone immediately looked at Liu Xin differently, but no one was sure how capable he was.
“Old Wu, let’s start!”
In front of the stage, this is the director of the Department of Cardiac Surgery of the Seventh Hospital. After a brief introduction, he turned on the screen projection, which showed the patient’s personal information and data analysis.
“We are still discussing the patient’s own symptoms today. I asked a foreign classmate for help to evaluate and check the patient’s condition data. This is the latest result sent this morning. Let’s take a look.”
“The other party uses the Naive Yebes classification method, which focuses on the study of PDA and VSD. This is the result of the analysis of the data.”
The doctors looked at the data and frowned.
Liu Xin opened the patient’s medical record and discovered that the patient’s heart disease was a relatively rare type of coronary atherosclerotic heart disease. This was originally not a problem, but it was accompanied by coronary atherosclerotic heart disease. Aortic dissection.
Aortic dissection refers to the separation of the true and false two lumens extending along the long axis of the aorta to form the aortic wall, while coronary atherosclerosis is the opposite, because the deposition causes the blood flow to be blocked.
“I have a question?”
Liu Xin raised his hand.
Everyone looked at him one after another.
“Just ask.”
“Does the aortic dissection appear in the patient’s left atrium? It is not mentioned in the medical record.”
Yu Dongwen nodded: “Yes, with coronary atherosclerosis, it has already squeezed the patient’s heart. It could have been operated on, but now it is difficult to perform operations on the heart. If both operations are performed at the same time ,The consequences could be disastrous.”
Liu Xin nodded: “Go on.”
Director Wu continued to talk about a series of treatment recommendations sent by foreign experts, of which the most reliable is the operation of heart replacement.
“So JHON currently recommends changing a heart.”
Director Wu returned to his position, but everyone was in trouble again, because the patient’s heart and blood type were different from ordinary people. To be precise, this option was basically eliminated from the patient’s stubborn illness, and Liu Xin also saw it in the medical record.
“Hey, if that’s the case, it can only be replaced by a heart.”
“I have a suggestion!”
Liu Xin raised his hand again.
“you say!”
“The source of the heart organ is a rare type, so it would be better to try aortic bypass surgery.”
“Aortic bypass surgery?” Yu Dongwen frowned slightly.
“Young man, you need to know that this is not just coronary heart disease, but also that the aortic dissection is in the left atrium. It is impossible to perform aortic bypass surgery?”
Some experts questioned, Liu Xin stepped forward, turned on the lights, picked up a marker on the side and drew a picture on the whiteboard.
“Everyone, aortic dissection and coronary atherosclerosis occur at the same time in the heart. We can continue to use bypass surgery to expand the intima of the dissection, and then perform intimal bypass to clear the atherosclerotic coronary artery. Blood pressure directly causes blood pressure to enter the patient’s heart atherosclerotic pulse.”
“Naughty! If this is the case, isn’t the aortic dissection still unsolved?”
Questioning again, Liu Xin turned around and wrote down a bold plan again on the whiteboard, suturing the endometrium, using three operations, ascending aorta replacement, Sun surgery, and Bentall surgery.
“Using aortic replacement surgery to replace the arterial blood vessels above the bridging blood vessels inside the heart. In this way, the first step of blood flow is completed, and the single pump blood vessel of Sun’s operation is used to introduce the lower body vascular circulation, and finally the Bentall operation is performed. Coronary artery conversion.”
“So you just asked about the left atrium, right?”
Director Wu suddenly got up and suddenly realized.
Liu Xin smiled and nodded: “Yes, if there is no problem with the right atrium, we can perform a double atrial bypass and use the healthy right atrium to guide the blood pressure in the aortic dissection to circulate.”
No one thought of this plan, but if it is really implemented, it will require extremely meticulous surgical procedures and complicated bypass techniques.
“Three operations, what would you do if it were you?”
Dean Ma suddenly appeared and asked Liu Xin who was standing in front of the white board.
“The risk of aortic dissection is the highest, and it requires three sessions, so the risk is high. Next is coronary atherosclerosis surgery. If possible, coronary atherosclerosis surgery must be completed first, and it must be performed within one month. The second operation.”
“In one month, two more major operations…”
Director Wu stopped here abruptly. After all, even if medical theories can be implemented, the reality is always very cruel.
“How sure are you if you leave the operation to you?”
Dean Ma knew that since Liu Xin could think of countermeasures in such a short time, he must have been very skilled or had his own thinking.
“Coronary atherosclerosis surgery does not require any risk, but I think that if the follow-up bypass can be completed after two operations, the patient’s survival rate will increase. For a patient with an aortic dissection, every day is suffering. .”
“Well, let’s leave the coronary atherosclerosis operation to Director Wu. There are two remaining. Director Wu will be your second assistant to assist you in the two-way bridge.”
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