This is done to use the right ventricle to supply blood to the aorta. For the remaining pulmonary artery, the doctor will use a BT shunt to connect it to the subscapular artery, or a Sano shunt to connect an artificial blood vessel directly to the right ventricle.
In a word, reduce the pressure as soon as possible, and divert and divert again. The sooner such a diversion and decompression surgery is done, the better. The child will continue to develop after birth, so we must seize this development period.
Student Xie described the child’s entire heart condition from beginning to end, right?
We took out the child's echocardiogram and looked at the report results: mitral atresia, left ventricular hypoplasia, patent ductus arteriosus, and atrial septal defect (Ⅱ, multiple).
It is basically the same as what Xie said.
Classmate Lin Hao has long been completely convinced by classmate Xie.
However, it was obvious that the child should have surgery as soon as possible, so why was there such a weird atmosphere in the room?
Brother Fairy hasn't said a word yet.
I didn’t say that what Xie said was right, nor did I say that what Xie said was wrong. What’s wrong with these teachers?
...
...
Classmates Lin Hao and Pan were a little confused.
Wu Manzhong and Miao Tianying stood together and communicated with complicated eyes: Let's talk about this student's matter.
Today, these students performed very well, especially the super-student Cao Zhao, who was able to look down on other teachers. No teacher doesn't want a smart student. But if this student is too smart, it can sometimes be a problem.
Look, after the stubborn student Xie spoke all the academic issues in a factual manner, the teacher was left with almost no way out.
What Xie said is absolutely right. The surgery needs to be done as soon as possible and it must be done tonight.
Academically this conclusion is correct, but surgery is performed by humans.
The phone in the emergency department started ringing.
There's a call from the operating room.
It can be seen that Dr. Wu had asked someone to call the operating room to prepare for emergency surgery.
It was determined that the child's current condition required heart surgery, and the call to the operating room was answered by Dr. Cheng.
The person in the operating room asked, "What kind of emergency surgery is this?"
Dr. Cheng Yuchen thought for a moment and replied, "You should prepare for the Norwood surgery first."
People in the operating room: "Norwood surgery?"
Doctor Cheng Yuchen: “Yes.”
People in the operating room: "Norwood surgery?"
Doctor Cheng Yuchen: That’s it, tape recorder.
It’s not the people in the operating room who are to blame. Dr. Cheng Yuchen has never performed such an operation before.
As mentioned before, the number of cases of hypoplastic left heart in China is extremely low. Not only is the number of cases low, but there are also very few parents willing to let their children undergo this surgery.
Generally, as long as the doctor explains to the parents clearly what the disease is, the parents will definitely be overwhelmed after listening.
If the doctor then says that the child will have to undergo several surgeries instead of just one, the parents will be even more confused.
When the doctor said that all the above surgeries had been completed, all of them were palliative surgeries that could only prolong the child's life, and non-radical surgeries could not cure the child's heart disease.
The parents’ heads were almost all in a state of shaking denial.
Doctors eventually need to give parents a shot of prevention, mentioning the worst outcome of the disease: if their child develops heart failure again, he or she will need a heart transplant.
On the one hand, parents have to consider the economic problem. The medical expenses of children in China are all paid out of their own pockets and cannot be reimbursed. On the other hand, it is very difficult to find a donor heart for heart transplantation. I have mentioned it many times before, so I don’t need to repeat it.
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