Foreign literature and the surgical cases that they have tried to use are mainly for atrial septal defect and ventricular septal defect repair, valve replacement and myxoma removal. These surgeries have an obvious feature, which involves the structure inside the heart. Detecting the inside of the heart is the strength of esophageal ultrasound. The purpose of using esophageal ultrasound in this type of surgery is very simple. It can detect these structures inside the heart in real time to facilitate doctors to adjust the surgical plan and observe the results of postoperative repair.
From this point of view, Xie's use of TEE for hepatobiliary surgery is definitely a national first. Guozhi has definitely never used it in such a case. Zhang Da Lao can guarantee this.
Like other doctors from other hospitals at the exchange meeting, he wanted to know who came up with the idea. Unfortunately, Tao Zhijie was confused at the exchange meeting, and the people from the National Association pretended to be dumb. Even when he went to the National Association for his mother's affairs, a group of people still kept it from him.
Now he was more and more sure that it was Xie who did it. Looking through the lead glass window, he saw the calm expression on her face. Don't think she was pretending. As a big shot, he could see that Xie was not pretending. Then he caught the intriguing expressions of the Guoxie people. Two pieces of evidence supported his speculation.
When the group of National Association members realized that Boss Zhang was looking at them out of the corner of his eye, they pretended to have wooden faces.
Xie Wanying in the operating room was wondering what Teacher Du wanted to detect with the esophageal ultrasound during the operation. It was definitely not the method she used in the extrahepatobiliary surgery.
"What could it be?"
The voice was close to her ear. Xie Wanying turned around and saw Senior Brother Shen wearing a surgical mask, with only two bird-like eyebrows and bright eyes showing outside the mask.
Shin Youhuan gave her a smiling look: You are familiar with vascular ultrasound, and you also know something about esophageal ultrasound, right?
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The senior wanted to exchange technology with her. It was a rare opportunity. Xie Wanying didn't think much about it and seized the opportunity. She said, "Based on the results of the patient's preoperative examination, the use of esophageal ultrasound during surgery is not related to repairing the defect and monitoring the valve. There are only two possibilities. One is that there may be a tumor in the right ventricle that needs to be monitored during surgery, and esophageal ultrasound can help. The other is that Teacher Du may want to use esophageal ultrasound to find a fistula."
Everyone knows what she said about the former, but what about the latter one?
"Fistula?" Doctor Pang immediately turned back to express surprise, "What fistula?"
After all, an extracorporeal circulation specialist is not a cardiovascular clinician and his reaction is a little slower.
"It's a coronary artery fistula." Shen Youhuan answered for his junior sister.
Senior Brother Shen understood what she said immediately. His skills are amazing, Xie Wanying thought.
Can fistulas grow in the heart? We have mentioned the definition of fistulas before. Two places that are not connected are connected. This abnormal opening is called a fistula opening, and the abnormal channel is called a fistula tract.
Like the heart, it is a closed organ except that it is connected to several large blood vessels. As long as it is closed and suddenly connected to the outside, it is normal to have a fistula. Here we need to make a distinction. The connection between the inside and the outside caused by a rupture of the heart is the same as the rupture of other organs, which cannot be called a fistula. Therefore, a fistula in the heart refers to an abnormal communication channel between the heart's blood vessels, such as the left and right coronary arteries, and the heart or other large blood vessels. This fistula is mostly congenital and the patient may be asymptomatic.
In today's surgery, the surgeon probably suspected that the patient had a fistula after the injury. Some fistulas may not be obvious if they are not completely healed, but if the knife is moved, the fistula will be exposed.
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