I can see health

Chapter 508 The transposed and deformed heart!
CCU cath lab.

Cao Zhiying saw Lu Chen in front of him.

He looked up and down, the boy in front of him looked young and still had a bookish air of a student.

It's hard to believe that such a young guy can actually get the "Certificate of Completion" from the Kyoto Institute of Electrophysiology? !

"Director, Lu Chen is here." Ren Feng stepped forward and said.

"Okay." Cao Zhiying nodded slightly, then looked at Cheng Guowen and Lu Chen, "The patient's pacemaker, I will leave it to you two."

"No problem..." Cheng Guowen nodded slightly.

At this moment, Lu Chen was stunned. Did he ask him to help make a pacemaker?
But a simple pacemaker implantation, most people in Jinghua Second Hospital can do it!
Why did you ask him to come?
At this time, Cheng Guowen walked up to Lu Chen.

Lu Chen said softly, "Hello, Director Cheng."

"Well, Lu Chen, long time no see." Cheng Guowen nodded slightly, "This time I asked you for help, mainly because this patient is too difficult, with severe heart failure, and the heart rhythm is still a third-degree atrioventricular block..."

Cheng Guowen briefly introduced the patient's condition.

"To put it simply, the function of placing this pacemaker is not only to increase the heart rate, but also to have the effect of anti-heart failure. However, the patient is old, has many underlying diseases, and the operation is difficult. I am not very sure."

Lu Chen immediately understood what Cheng Guowen meant.

This is for him to come to the rescue!

These director-level figures think highly of him. It is really not easy for him to be recognized by so many professors and directors for a graduate student who has not graduated!

"Lu Chen, did you encounter this operation when you were at the Electrophysiology Institute in Kyoto?" Cheng Guowen looked at Lu Chen a little nervously.

Lu Chen nodded slowly: "I did it independently."

"That's really great!" Cheng Guowen beamed with joy.

In fact, Cheng Guowen didn't say the most important point.

That is, the identity of this patient is too special!

It is said that he is an important member of the Provincial Department of Health and their immediate boss!
"Then let's put a pacemaker on the patient first." Cheng Guowen said, "After we raise the patient's heart rate, Director Cao will perform the coronary surgery. Relatively speaking, it may be simpler."

"Okay." Lu Chen nodded.

Cheng Guowen, as No.1 in Jinghua's electrophysiology field, is able to treat a young man like this, which is the first time!
……

CCU catheter outside.

Everyone looked at Lu Chen who was talking with Cheng Guowen in amazement.

"Lu Chen is too powerful, Director Cheng is almost always asking for Lu Chen's opinion."

"Although this Lu Chen has won some awards, Director Cheng doesn't have to do this."

"Yes, I feel a bit too much too! Why would a student be involved in such an important operation?"

At the scene, only Lei Cui remained silent.

With a gloomy face, she stared closely at Lu Chen in the catheterization room.

In the assessment that year, she was only one rank poor, and she lost the qualification to go to the national assessment.

If she had the opportunity to enter the electrophysiology training class in Kyoto, the person standing in it now might be her!

It's really hateful!

……

Sun Guoguo looked at Lu Chen in the catheterization room in surprise.

The younger brother is very powerful, she knows it.

But what I didn't expect was that the junior brother could discuss the illness with these director-level figures!
This was something she never thought of.

It seems that Junior Brother Lu Chen's development has far exceeded most people's imagination!
……

Lu Chen put on surgical gloves, and Cheng Guowen stood aside as an assistant.

"Director, I'll start then!"

"it is good!"

Cheng Guowen nodded slightly, and Lu Chen immediately started!
Scenes of previous electrophysiological surgeries immediately appeared in his mind.

Whether in real surgery or in systematic training, the implantation process of the anti-heart failure pacemaker was quickly shown in his mind.

The piercing begins!
The first step in all interventional procedures is puncture.

Lu Chen's piercing process was extremely smooth.

From the selection of the puncture point to the insertion of the puncture needle, it is as if a locator is installed.

Cheng Guowen on the side was also amazed.

This kind of skillful technique can be seen in a student. He is indeed a person who has obtained the "Certificate of Completion" of Kyoto Electrophysiology Training!

Cao Xinxin and Ren Feng looked at each other, and both could see the surprise in each other's eyes.

However, this is just the beginning!
The technical difficulty of implanting an anti-heart failure pacemaker lies in overcoming the anatomical variation brought about by a large heart and the risk of heart failure.

Completing the implantation of three pacing electrodes, especially the special site implantation of the left ventricular electrode through the coronary vein, has extremely high quality requirements for the surgeon!

After the puncture is completed, the guide wire and electrodes are inserted.

Implantation is not complete until the electrodes are placed in the designated locations.

However, the position of this electrode will change due to the size of the heart and the shape of the blood vessels.

With the entry of the electrodes, Lu Chen started to run into trouble.

"Not too good, the patient's heart is too big." Lu Chen frowned.

A normal human heart is the size of a pear.

However, if heart failure occurs, the heart will gradually expand in order to compensate for work, and finally decompensate, and even become as big as two fists.

The heart becomes larger, the translocation deformation is obvious, and the implantation of the ventricular electrodes is particularly difficult!

Cheng Guowen on the side also looked very serious.

Although he had already thought that the patient's heart was large and it would be difficult to implant electrodes, he still underestimated the difficulty!
CCU catheter outside.

Some doctors who were engaged in electrophysiology immediately saw Lu Chen's current predicament.

"Let me just say, this patient's heart is so big! It's difficult to implant the electrodes in the right place!"

"Aren't you talking nonsense? If the pacemaker is easy to install, then Director Cheng Guowen won't let anyone else install it!"

"Hey, guess what, can Lu Chen put it in?"

"I bet breakfast tomorrow morning, no!"

"I bet a week's dinner, yes!"

……

"What should I do?" Cheng Guowen frowned deeply, and glanced at Lu Chen.

"Director Cheng, I'll try my best."

"Do what you can, if it doesn't work, just quit, and we'll think of another way."

Lu Chen began to slowly insert the electrodes.

Every step of the way, it is necessary to continuously image the blood vessels to prevent the electrodes from deviating from the track.

"Take a picture!"

"Take another photo!"

"Let's take another photo at the back..."

Lu Chen controlled the entry of the electrodes all the way, and was extremely cautious in every step.

Whether it was Cheng Guowen and Cao Zhiying on the court, or everyone watching outside the court, they all breathed a sigh of relief.

The electrodes slowly moved towards the left ventricle, and the dawn of victory seemed to be in sight.

Finally, after receiving a lot of X-ray irradiation, the electrode position of the left ventricle electrode was finally perfect!
However, this step alone took nearly an hour.

(End of this chapter)