"Don't you need to do a bridge?"
The worst part of this patient is probably not the three-vessel disease that requires bypass surgery.
Xie Wanying and Pan Shihua returned to the control room and stood with other students to continue watching the progress of the operation in the operating room.
Unlike the two of them who had to manually adjust their arms in the operating room, the skilled doctors can now operate the operating table on which the patient lies, rotate the table, and coordinate with the C-arm of the angiography machine to adjust the projection angle, and can change the patient's position manually to collect multi-directional information. Advanced medical instruments and operating tables have greatly reduced the burden on medical staff.
The catheter first enters 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 because it seems 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. The left anterior descending branch, where the stent was installed in the last surgery the patient had, supplies nearly 50% of the blood volume of the left ventricle, which is very important.
After the contrast agent was injected, a section of blood vessel was missing on the computer screen, proving that the stent was narrowed again.
The examination results were consistent with the preoperative inferences made by these medical students.
Student Feng Yicong's eyebrows raised. He could finally be happy that all the knowledge he had learned was not in vain.
After seeing the angiography results, Fu Xinheng told Dr. Xu on the phone: "The stent restenosis is serious."
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Doctor Xu was shocked and took a deep breath: What happened? The stent is completely blocked in just a few months?
What should we do if the disease re-stenosis occurs? Don’t be impatient. We need to check all the conditions of the patient’s coronary arteries before making a decision.
"Bypass surgery must be done, and a good preoperative plan needs to be made." Fu Xinheng said after reviewing the patient's comprehensive coronary angiography results on site.
Today's PCI is very meaningful and will provide a very important reference for their surgical operations. Another significance is that another wonderful surgical student was discovered.
After the operation, Jin Tianyu took Dr. Fang outside to explain the patient's condition to Mr. Zhou, a friend of the patient: "The stent was severely narrowed again, so he was temporarily given a cutting balloon angioplasty to remove the proliferating fibrous tissue in the stent, allowing his left coronary artery to resume blood supply."
"Is the blockage in the stent he had previously installed because the last surgery was not done well?" asked Mr. Zhou.
Some patients' family members are always like this, questioning this and that, and they like to question the doctor first. Dr. Xu never thought that after he worked hard for this patient for half a night, the family members would first question whether he had done something wrong.
Jin Tianyu didn't have the style of Dr. Xu who doubted his colleagues in front of the family members. He said to the family members: "He didn't take medicine and check up on time after the operation, didn't control his diet, didn't rest, stayed up late on business trips, drank and smoked. How can the stenosis be cured? Stenting doesn't mean it can change his original blood vessel condition, it's just to help him out. I have already contacted the surgery department for him, and he will be transferred to the surgery department in a while, and he may need surgery."
"Isn't this solved? Do we still need to do open-heart surgery?" Mr. Zhou asked hesitantly.
Didn't he always clamor to be transferred to the surgical department? It was as if the internal medicine department was preventing the patient from being transferred and wanted the patient to die in the internal medicine department. Now that the doctor wants to transfer, the family members don't want to transfer anymore.
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