"Don't you need to build a bridge?"
It is not just three-vessel disease that requires bypass surgery. The worst thing about this patient is probably not the three-vessel disease.
Xie Wanying and Pan Shihua, who returned to the control room, stood with other students and continued to watch the progress of the operation in the operating room.
Unlike the two of them who had to manually fine-tune their arms in the operating room, the skilled doctor can now operate the surgical bed where the patient is lying, rotate the bed, and adjust the shooting angle by controlling the C-arm of the angiography machine without manual labor. The patient's position can be changed to collect multi-directional information. Advanced medical instruments and operating tables greatly reduce the burden on medical staff.
The catheter is first entered into the left coronary artery for angiography. From the previous structural analysis of the aortic sinus, we can see that the left and right coronary arteries that actually supply blood to the heart are a pair of branches of the aorta. The left coronary artery is a short trunk. Don't underestimate it as it seems to be shorter than the right coronary artery. However, the thickness of the left ventricle is usually thicker than that of the right ventricle, which means that the blood supply of the left coronary artery is always greater. The left anterior descending artery, where the stent was installed in the patient's last surgery, supplies nearly 50% of the blood volume of the left ventricle, which is said to be very important.
After the contrast agent was injected, a section of the blood vessel was missing on the computer screen, proving that the stent was restenotic.
The results of the examination were consistent with the preoperative assumptions of a group of medical students.
Classmate Feng Yicong’s eyebrows were raised. He was finally happy and the knowledge he learned was not in vain.
Seeing the angiography results, Fu Xinheng told Dr. Xu on the phone: "The restenosis in the stent is serious."
Dr. Xu was frightened and gasped: What's going on? It’s only been a few months since the stent was completely clogged?
What if it gets narrower? Don't worry. It is necessary to check all the conditions of the patient's coronary arteries before making a decision.
"The bypass needs to be done, and a good preoperative plan needs to be made." Fu Xinheng said after reviewing the comprehensive results of the patient's coronary angiography at the scene.
Today's PCI is very meaningful and will provide a very important reference for their surgical operations. As for another meaning, it should be that another weird surgeon was discovered.
After the operation, Jin Tianyu took Dr. Fang outside to explain the patient's condition to the patient's friend Mr. Zhou: "If the stent was severely narrowed, he performed a temporary cutting balloon angioplasty to cut off the proliferated fibrous tissue in the stent. , to restore blood supply to his left coronary artery."
"Is the stent he had done before blocked because the last operation was not done well?" Mr. Zhou asked.
Some family members of patients are always like this, questioning this and that, and like to question the doctor first. Dr. Xu never expected that after working for this patient for half a night, the family members would first question him because he had done something wrong.
Jin Tianyu did not have the style of Dr. Xu who said doubtful things about colleagues in front of his family members. He told them: "He did not take medicine on time for review after surgery, did not control his diet, did not rest, stayed up late on business trips, drank alcohol and smoked. Can he no longer be constricted?" ? Installing a stent does not mean that it can change his original blood vessel condition, but it can only help him in an emergency. We have already contacted the surgery for him. He will be transferred to the surgery after a while, and surgery may be required. "
"Isn't this solved? Do you need a thoracotomy?" Mr. Zhou asked hesitantly.
Haven't you been clamoring to be transferred to surgery before? It's as if their internal medicine department prevents patients from transferring to the internal medicine department and lets the patient die. Now the doctor wants to transfer her, but her family members don’t want to transfer her.
