Mr. Zhong smiled and gave his own optimization and improvement ideas for the first three surgical plans.
“The left ventricle of the heart reaches 11cm in length and 9cm in transverse direction!
The ventricular wall thickness reaches 14mm, the normal value is 7mm!
In other words, the heart volume is more than 3 times that of a normal heart!
The indication for heart transplantation is approaching.
Normal blood vessels are about 3cm wide, but the patient's blood vessels had dilated to 6cm.
Based on these circumstances, it is necessary to reconstruct the aorta, replace the aortic valve, and anastomose the artificial blood vessel to the coronary artery...
The difficulty lies in the protection of important organs and revascularization. "
Zhao Yuan listened extremely carefully.
He knew that Mr. Zhong was not questioning or criticizing, but was checking for himself from the bottom of his heart and providing the most reliable surgical plan for the patient.
Mr. Zhong also showed the level of a powerful figure, supplementing and improving Zhao Yuan's plan in a relatively gentle way.
Zhao Yuan analyzed the styles of Mr. Qin and Mr. Zhong.
Mr. Qin is good at innovating techniques.
Mr. Zhong is good at innovating ideas.
What does that mean!
Just like cultivating immortals, one is good at close combat, and the other is good at magic and long-range attack, each has its own advantages.
After Mr. Zhong’s guidance, Zhao Yuan felt like he was enlightened.
Jin Xiao listened very carefully beside him.
Mr. Zhong rarely talks endlessly during consultations, but today he seemed to have opened up a chatterbox and talked for more than an hour at once.
Jin Xiao understood Mr. Zhong's mood. He wanted to use this occasion to convey his insights and experiences to Zhao Yuan without reservation.
Thinking of this, Jin Xiao felt sour in his heart, but he also admired his master's broadmindedness.
Jin Xiao also felt a little regretful for being hostile to Zhao Yuan before.
To put it bluntly, Jin Xiao was still a little jealous because of Zhao Yuan's excellence.
The consultation is over.
The experts who participated in the consultation gathered together to exchange ideas.
No one expected that this operation would be so difficult.
"It's really difficult to have four serious heart diseases all in one person!"
“Before, there were only three types, and it had already reached the ceiling.
Zhao Yuan's physical examination revealed aortic dissection, which at least doubled the difficulty.
Of course, the patient is lucky. If it is not evaluated before surgery and the disease breaks out during the surgery, the consequences will be disastrous. "
"Comprehensive evaluation shows that this operation is definitely more difficult than a heart transplant!"
The most difficult surgery outside the chest is recognized as heart transplantation.
Generally, if it exceeds this difficulty, there is no need to use other surgeries.
But a heart transplant requires waiting for an organ.
Patients with aortic dissection simply cannot wait.
After hours of preparation, the operation is about to begin.
Before the operation, the patient's wife burst into tears.
This operation will determine whether the husband lives or dies.
After I got married to my husband, my husband hid his identity because of work needs.
She raised the two children by herself, but she never doubted her choice.
Because she knew that her husband's talent was of special value to the country.
Although she didn’t know what her husband was doing, it must be something particularly great, so she never asked about it.
It wasn't until her husband retired and his identity was revealed that she realized that her husband was more amazing than she imagined.
"You must live. You owe me decades of youth. You promised to stay with me for the rest of your life and leave this world later than me. You will take care of me."
The husband looked at his wife guiltily and said, "I'm sorry, I owe you so much. If I can't pay you back in this life, I'll have to do it in the next life."
The husband was about to enter the operating room when he suddenly raised his hand.
My wife hurriedly chased after me and burst into tears when she heard the inaudible "I love you".
In all these years, Gao Lao has never said this.
It’s not that I don’t say it, but I keep it in my heart.
Now, on the occasion of life and death, it must be said.
Zhao Yuan also felt emotional when he saw this scene.
However, he showed no emotion.
He needed to show enough composure at this moment.
Extrathoracic ceiling level surgery.
Jiang Jing is the first assistant, and the other two assistants are the chief physicians of Beilishi Hospital.
These two people are students of Jin Xiao.
The reason why Jin Xiao didn't serve as an assistant was because he couldn't let go. After all, letting him serve as Zhao Yuan's assistant made him feel uncomfortable.
However, standing in the viewing area, he was scratching his head.
This operation is so difficult that many doctors will never be able to participate in it.
For experts like Jin Xiao, difficult surgeries are too attractive.
Mr. Zhong glanced at the student and sighed inwardly.
Character determines a person's achievements.
Jin Xiao is more individual, and his talent and personality make him a top-notch surgeon.
But because he is too conceited and overconfident, Jin Xiao will inevitably encounter bottlenecks.
Otherwise, Jin Xiao would have a chance to catch up with Qi Ming.
The operation begins.
Zhao Yuan instantly caught everyone's attention with his exquisite operations.
These people are all high-level players, and it is really difficult to conquer the critical eyes.
However, Zhao Yuan did it easily.
Mr. Zhong recalled that this was how Zhao Yuan conquered himself and Lao Qin.
It's a pity that Zhao Yuan was so excited that he gave up Zhao Yuan.
Otherwise, now we are no longer the fourth son of the Zhongmen, but the fifth son of the Zhongmen.
Zhao Yuan first had to deal with the problem of aortic dissection. The dissection breach was located in the upper segment of the ascending aorta and extended to the descending aorta.
In the blink of an eye, Zhao Yuan removed the aortic valve leaflets, sutured the valved artificial blood vessel intermittently on the aortic valve annulus, and anastomosed the coronary artery to the valved artificial blood vessel.
Then, check whether the coronary arteries are open.
The big guys in the observation area were silent.
"It's so fast, the separation is so refined, and there's almost no bleeding from the aspirator."
"He was racing for time and striving for the least surgical trauma."
"A disease as dangerous as aortic dissection is similar to appendix surgery in front of him."
"Sure enough, a hero comes from a boy!"
Mr. Zhong had already judged Zhao Yuan's ability.
Although this operation was difficult, it was within control for him.
However, the next stage will be a huge test.
Deep hypothermia, circulatory arrest.
Lower the patient's body temperature to 18°C to protect important organs at low temperature.
Whether the patient can survive and whether there is quality survival is determined by this step.
This process must be as fast as possible, because during this process, there is no blood circulation in the patient's body. If the time is too long, the patient's brain, bone marrow, cardiomyocytes and other important organs will be ischemic and hypoxic.
Zhao Yuan incised the aortic arch, inserted the stent graft, and anastomosed the distal end of the artificial four-branch blood vessel to the descending aorta and the stent graft with continuous sutures...
Mr. Zhong observes the time!
Jin Xiao is watching the time!
Wu Hai is also looking at the time!
Everyone has a time that belongs to themselves.
If you do it yourself, you can control how much time it takes.
Zhao Yuan completed this part of the operation.
The time is fixed at 9 minutes and 31 seconds.
This one is amazing.
It is impossible to control Zhong Lao's peak level within ten minutes.
As for Jin Xiao and Wu Hai who are now at their peak, it will take at least twelve minutes!
"It's amazing! The circulation is restored within ten minutes."
"It is also one of the best in the world."
Zhao Yuan must race against time.
He anastomosed the three branches of the four-branch artificial blood vessel to the three arteries supplying blood to the brain and upper limbs, and then anastomosed the proximal end of the artificial blood vessel to the valved blood vessel...
Dazzling operation.
Wonderful fingertip ballet.
The faster the surgery is done, the less damage is done to the patient's heart muscle.
Jin Xiao had to admit that Zhao Yuan's understanding of cardiac anatomy was far superior to his own.
This is what a technical competition looks like.
Strong is strong.
Weak is weak.
There is no controversy.
Aortic valve replacement + coronary artery transplantation + ascending aorta replacement + total aortic arch replacement + descending aorta stent elephant trunk surgery!
Any operation taken alone is a level 4 difficulty operation.
But it became easy in front of Zhao Yuan!
The heart beats again.
Mr. Zhong quickly checked the time.
Jin Xiao and Wu Hai were also looking at the time.
The heart block time lasted only 18 minutes.
The short time once again exceeded everyone's surprise.
