BXBX NOVEL Chapter 1403: 【1403】The result comes out
It is not only three-vessel lesions that require bypass surgery. The worst part of this patient should not be 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 just fine-tuned the arms in the operating room, the skilled doctor can now operate the surgical bed on which the patient is lying, make the bed rotate, and adjust the shooting angle with the c-arm of the angiography machine without manual operation. The patient position can be changed for multi-directional information collection. Advanced medical instruments and operating tables are greatly reducing the burden on medical staff.
The catheter was first inserted into the left coronary artery for angiography. From the previous structural analysis of the aortic sinus, it can be seen that the left and right coronary arteries that supply blood to the heart are actually a pair of branches of the aorta. The left coronary artery is a short trunk. Don't underestimate it as if it is shorter than the right coronary artery, but the thickness of the left ventricle is usually thicker than that of the right ventricle, indicating that the blood supply of the left coronary artery is always in demand. The left anterior descending artery, which was installed with stents in the last surgery, supplied nearly 50% of the blood volume of the left ventricle, which was said to be very important.
The contrast agent was injected, and a segment of vascular imaging was missing on the computer screen, proving that the stent was restenosis.
The results of the inspection are in line with the preoperative inferences of their group of medical students.
Feng Yicong raised his eyebrows, finally he could be happy, the knowledge was not learned in vain.
Seeing this angiography result, Fu Xinheng told Dr. Xu on the phone: "The in-stent restenosis is serious."
Dr. Xu was frightened and gasped: What happened? It's only been a few months since the Kung Fu stent was completely blocked?
What about restenosis? Don't worry. It is necessary to check all the conditions of the patient's coronary arteries clearly before making a decision.
"Bypass is to be done, and a good preoperative plan needs to be made." Fu Xinheng said at the scene after reviewing the patient's comprehensive coronary angiography results.
Today's PCI is meaningful and will provide a very important reference for their surgical procedures. As for another meaning, it should be that another wonderful surgical student was discovered.
After the operation, Jin Tianyu took Dr. Fang outside to explain the patient's condition to the patient's friend Mr. Zhou: "The stent was severely stenotic again, so he performed a temporary cutting balloon angioplasty to cut off the proliferating fibrous tissue in the stent. , to restore blood flow to his left coronary artery."
"Is it because the stent he had done before was blocked because the operation was not done well last time?" Mr. Zhou asked.
Some family members of patients are always like this, questioning this and questioning that, and like to question the doctor first. Dr. Xu never imagined that he had been busy with this patient for a long time, but the family's first question was that he had done something wrong.
Jin Tianyu did not have the style of Dr. Xu who said suspicious colleagues in front of his family members, and said to his family members: "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, and drank and smoked. Can he stop being narrow? ? Installing a stent does not mean that it can change his own blood vessel condition, but just to help him in emergency. He has already contacted the surgery for him, and he will be transferred to surgery in a while, and surgery may be required. "
"Isn't this resolved? Do you still need thoracotomy?" Mr. Zhou asked hesitantly.
Haven’t you been clamoring for surgery before? It's as if their internal medicine department stopped the patient from transferring and wanted to let the patient die in the internal medicine department. Now the doctor calls for the transfer, but the family does not want to transfer.
(end of this chapter)