I can see health

Chapter 854 Second surgery for valve failure! (first update)
"Okay, wait a minute, I'll go right away!"

Lu Chen was a little surprised.

What kind of surgery was it that made him go back?

In the Mayo Cardiology Inpatient Department, there are many doctors in the group.

An attending doctor, followed by two fellows.

Besides Lu Chen, Kebed also has another Fellow, that is Kenji Yamada.

After explaining a few words to the patient from Huaxia, Lu Chen left.

……

Mayo Cardiology Inpatient Unit.

In the emergency room at this time.

The alarm of the bedside ECG monitor kept ringing.

The nurse in charge of the bed is busy changing the dressing for the patient.

Kebed, the attending doctor in the group, has serious eyes. He is performing cardiopulmonary auscultation on the patient with a stethoscope.

On the side of the emergency room, Yamada Kenji was silent, his expression extremely serious.

Hospital bed.

The patient has cyanotic lips and shortness of breath.

Although the ventilator is used, the blood oxygen is still hovering around 90%.

"The patient has severe aortic valve stenosis with severe calcification." Kenji Yamada frowned and said, "The patient had a TAVR operation before, and it has been eight years since now, and his artificial valve should be broken again!"

In China, there will be no such patients.

Because Huaxia has only carried out this TAVR operation in recent years, it has not yet reached the time of valve failure.

This case is also the first case encountered by Lu Chen, the case of TAVR self-deterioration!
"Doctor Kebed, I'm back."

Lu Chen tidied up his white coat for a while, then walked into the emergency room.

"Come and see this patient!"

Kebed waved at Lu Chen.

"Here we come." Lu Chen nodded, and leaned forward to take a look.

On the hospital bed, a fat man sat on the edge of the bed panting.

His face was pale, his breathing was short, and he was in an extremely uncomfortable state.

The life value on the head is 36 (----)!
The changing trend of the three minus signs indicates that his condition has reached an extremely dangerous stage.

Lu Chen was checking on the patient, and Kebed beside him was quickly introducing the patient's condition.

"We are currently considering that the patient is in cardiogenic shock caused by severe aortic stenosis."

"But the difficulty now is that the patient had already had a TAVR operation eight years ago."

Lu Chen was taken aback for a moment, and he immediately understood what Kebed meant.

The prognosis for such patients is not very good.

"Switch to thoracotomy?" Kenji Yamada whispered beside him.

Lu Chen shook his head slowly: "I'm afraid it won't work, the patient's body can no longer tolerate chest surgery."

"Then what should we do?" Yamada Kenji frowned, "Do nothing? Just look at him..."

As the attending doctor, Kebed has absolute authority to decide the patient's next diagnosis and treatment plan.

……

"Lu Chen, I want to hear your opinion." Kebed hesitated for a while, but couldn't make a final decision.

But at this moment, Lu Chen gritted his teeth.

"Mr. Kebed, how about we try a second TAVR?"

"Huh? Second TAVR operation?"

Yamada Kenji was astonished.

"But after the patient's first operation, his vascular condition will definitely not be good." Yamada Kenji raised his own doubts, "The operation is difficult, and we have no similar experience,"

After speaking, Yamada Kenji looked at Lu Chen.

Lu Chen shook his head, "I haven't had a second surgery for valve failure, but I think I can give it a try."

Kebed listened to the conversation between the two and fell into deep thought.

The patient was transferred from a nearby hospital.

The patient's family is well-off, and there are many connections, so that the patient can be sent to Mayo.

In all fairness, if even Mayo can't handle a patient, it can basically only be declared clinical death.

"Use medication to maintain treatment first." Kebed said softly, "As for the issue of the second operation, we will discuss it in a meeting and communicate with the patient's family."

"Okay, I think it's okay." Lu Chen nodded.

Secondary surgery for valve failure is a leading innovation in the world.

If it can be completed, then their team has created another top-level technique.

One is to pass the consent of the patient's family, but to pass the consent of the Mayo Ethics Center.

……

At the invitation of Kebed, some doctors from the Department of Cardiology gathered together.

In a short period of time, a number of big names in the field of cardiology came.

The subject of everyone's discussion is naturally the patient's "second surgery"!
"The difficulty of the second operation is not small, including the selection of the valve model, the determination of the release position of the valve, and how to prevent coronary artery blockage." A senior professor of cardiology said, "I think surgery can be tried, but it needs and There is no way to communicate with family members!"

In the Chinese saying, this is a dead horse as a living horse doctor!
"Major surgery like thoracotomy is not suitable for patients, but the effect of drug treatment is so poor, minimally invasive TAVR surgery is the only choice."

"Secondary surgery for decayed valves, this is a surgical procedure that has not yet appeared in the world. If you can succeed, it will definitely create a new field!"

The opinions of the professors are very unified.

Surgical thoracotomy, certainly can not sit.

If it is done, it is equivalent to accelerating the death of the patient.

As for the second operation of the decaying valve, this kind of operation has not yet appeared!
If the Kebed team can complete this technique, it will undoubtedly add another honor to Mayo.

At this moment.

Yamada Kenji, who was on the side, also slowly walked into the discussion room.

He came to Kebed and said in a low voice: "Doctor Kebed, the patient's family agrees to the operation and expresses their willingness to bear all risks!"

"Okay, since that's the case, let's prepare for the operation!"

Kebed didn't hesitate either.

Now that you have chosen the "second surgery", you must start preparing as soon as possible.

Seeing this, Lu Chen felt a little anxious in his heart.

This type of surgery does not currently exist in the existing medical technology industry.

It is a new technology and project, and Lu Chen has not found similar surgery in the virtual space of the system.

Therefore, this operation is also a brand new experience for Lu Chen!

Lu Chen really wanted to know, without the help of the system, what step could he do by himself?

……

Ready for surgery.

Mayo has been productive.

After Kebed decided on the surgery, various surgery-related departments started the surgery plan.

As the attending doctor in the group, Kebed naturally became the chief surgeon of the operation.

And Lu Chen is the first assistant in the operation.

Kenji Yamada was the second assistant in the operation.

The three of them walked slowly up to the surgery floor, looked at each other, and could see the seriousness in each other's eyes.

Even with the signatures of the patient's family members, no one dares to take it lightly.

This time, the surgery is considered a public surgery.

Next to the operating room, there is a small room for visiting.

As usual, this is where residents or interns sit.

But today, all the big names in the cardiology department gathered together.

(End of this chapter)