"Can't do it?"

After Xu Qiu sat down, he looked through Miao Yue's medical records and said, "What can't be done?"

Director Zheng pressed the remote control, and the patient's ultrasound image appeared on the screen in front of him.

"Cardiac catheterization and angiography did confirm the pulmonary vein shunt.

Echocardiography, color flow Doppler and pulse Doppler all revealed that the patient had a foramen secundum atrial septal defect.

Horseshoe kidney was also discovered on enhanced CT.

The diagnosis of scimitar syndrome was thoroughly clarified.

but……

When we further checked, we found that the diameter of the patient's pulmonary veins was only about 5mm!"

Everyone present looked a little heavy.

The diameter of normal pulmonary veins ranges from 8 to 21 mm.

Clinically, artificial blood vessels have been widely used in the replacement of large blood vessels such as the aorta, and the postoperative efficacy is very optimistic.

Pulmonary veins are naturally included in this list.

but……

Small blood vessels with a diameter less than 6 mm have always been one of the most challenging research directions in the field of cardiovascular intervention.

It is even one of the key problems restricting the development of international small microvascular intervention!

If Miao Yue's pulmonary veins were normal, this problem would not exist.

However……

She has scimitar syndrome.

The right lung is underdeveloped, and even the size of the pulmonary veins is only 5mm, which is far lower than the standard of a normal adult!

As a result, blood vessel replacement, which was originally only a somewhat technically difficult task, suddenly reached the point where "no one can do it"...

Director Zheng said with some pity: "Small blood vessels have always been a difficult problem for cardiac intervention. No one expected that the patient's pulmonary veins would shrink like this, and this operation cannot be performed!"

Everyone looked at Xu Qiu.

When they heard the news, they were also surprised, and more of them felt regretful.

But, to everyone's surprise, they didn't see a trace of surprise on Xu Qiu's face!

snap——

On the seat, Xu Qiu gently closed Miao Yue's medical record and said calmly: "I know this, and what I am planning to do is small blood vessel replacement."

Wow!

This sentence caused an uproar in the conference room.

Director Zheng couldn't sit still anymore, choked for a moment, and then said in shock: "You had expected this?"

"right."

"You wanted to replace the small blood vessels in the first place?"

"right."

Director Zheng's eyes widened.

But at this time, Xu Qiu still had a relaxed and carefree expression on his face, as if he was just talking about an ordinary topic like "stopping bleeding".

This is a small blood vessel replacement...why are you so calm?

At this moment, Director Zheng realized that he really couldn't see through Xu Qiu!

This kind of psychological quality makes people feel terrible!

…

After Xu Qiu nodded and said there was no problem, Director Zheng also waved his hand and agreed to carry out the operation.

He is a decisive person. After choosing to trust him, he will not engage in those sectarian affairs and immediately delegate power to Xu Qiu.

Of course, two conditions are attached.

First: videotape the entire operation, and then leave it to the cardiac surgery department as a scientific treasure.

Second: Doctors from the cardiac surgery and interventional departments are allowed to observe on-site.

These two points are not requirements for Xu Qiu.

Which of his surgeries has not become a teaching material video, and which one of his surgeries has not been packed with people observing?

Before the operation started, Xu Qiu went through the operation again in her mind.

This surgery was completely led by Xu Qiu, so the technique was different.

The conventional surgical procedure for the treatment of scimitar syndrome is to make an incision in the middle of the sternum, open the heart with the support of the extracorporeal circulation machine, find the opening of the right pulmonary vein, and re-drain it to the left atrium through patches, spacers, etc.

.

Artificial blood vessels are used during the process.

However, this traditional surgical method has great limitations.

One is that it must be performed under extracorporeal circulation.

Although extracorporeal circulation can maintain oxygen and blood supply to tissues and organs throughout the body, it can also cause a series of complications.

Such as metabolic acidosis, respiratory alkalosis; destruction of formed components of blood; electrolyte imbalance; renal failure, etc...

Among them, Miao Yue is the most intolerable——

It caused damage to her already fragile lungs, causing interstitial pulmonary edema, even perfusing the lungs, etc.

The second hazard is that the surgery is very traumatic.

The most critical thing is that the gasket repair area will cause venous return obstruction!

Kong Huixia's surgery at that time actually used spacers.

But she had an intracardiac repair, and she had no original disease. Her heart, lungs, kidneys, etc. were all well developed, so the chance of obstruction was very small.

Even if it happened, it wouldn't hurt to have a little blockage in such a big heart.

but,

Miao Yue had problems with her heart, lungs, and kidneys. In addition, she had small blood vessels with narrow lumens.

Another obstruction is tantamount to a death sentence.

Therefore, Xu Qiu chose a more difficult procedure - correction of anomalous pulmonary vein drainage without extracorporeal circulation.

The core of the operation is naturally the artificial blood vessel replacement that has been mastered.

In addition, since the patient also has an atrial septal defect, it must be combined with an atrial septal defect repair.

"Teacher, I'm here!"

In the distance, Chen Qiao rushed over, blinking his eyes, looking forward to the next operation.

Xu Qiu also finished simulating the operation at this time, nodded, and entered the staff passage.

…

Half an hour later.

Operating room.

Miao Yue looked very nervous on the operating bed, looking around with a pair of tired and weak eyes.

This is her first time in the operating room.

It's so different from the delivery room.

The doctors around were standing on the periphery, their expressions a little solemn.

Miao Yue is too thin and her physical condition is not good. Most doctors would not dare to touch this kind of patient.

I have to say that Dr. Xu is really a talented person and very brave...

At this moment, there was a sound of footsteps coming from the operating channel, and then the air-locking door was stepped open.

All the doctors looked over at the same time, with a hint of hope in their eyes.

Miao Yue also turned around and recognized Xu Qiu at a glance, with gratitude in her eyes.

If it weren't for Xu Qiu, she might still be lying on the hospital bed waiting to die!

"Dr. Xu, thank you..." Miao Yue's voice was weak.

Xu Qiu put on the surgical gown, came closer, and comforted: "Go to sleep, you will be fine when you wake up."

"Okay!" Miao Yue closed her eyes without any doubt.

The anesthesiologist and Xu Qiu looked at each other,
To be continued...