It is not just three-vessel disease that requires bypass surgery. The worst thing about this patient should not be 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 first enters 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, not too small.
It seems to be shorter than the right coronary artery, but the thickness of the left ventricle is usually thicker than the right ventricle, which means that the blood supply of the left coronary artery is always greater. In the last surgery the patient had, the left anterior descending artery, where the stent was installed, supplied
The left ventricle accounts for nearly 50% of the blood volume, 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 re-stenotic.
The results of the examination were consistent with the preoperative assumptions of a group of medical students.
Classmate Feng Yicong's eyebrows flew up. He was finally happy that the knowledge he had learned was not in vain.
Seeing the imaging results, Fu Xinheng told Dr. Xu on the phone: "In-stent restenosis is serious."
Dr. Xu was frightened and gasped: What happened? It has only been a few months since the stent was completely blocked?
What to do if there is restenosis? Don’t worry. You need to check all the conditions of the patient’s coronary arteries before making a decision.
"Bypass is necessary, and a good preoperative plan needs to be made." Fu Xinheng said after reviewing the patient's comprehensive coronary angiography results at the scene.
Today's PCI is very meaningful and will provide a very important reference for their surgical operations. As for another significance, it should be that another weird surgeon has been 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 patients' family members 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 first question raised by the family members was that he had done something wrong.
Jin Tianyu didn’t have Dr. Xu’s style of doubting colleagues in front of his family members. He told 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, drank alcohol and smoked. Can he no longer be constricted?”
?The installation of 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 still need a thoracotomy?" Mr. Zhou asked hesitantly.
Didn't we always clamor for transfer to surgery? It seems that the internal medicine department prevented the patient from transferring and the patient died in the internal medicine department. Now that the doctor is asking for transfer, the family members do not want to transfer.
