I can see health

Chapter 881 Zou Wei's Invitation

Lu Chen gave a very accurate description of the diseased condition of the patient's valve, such as shape, location, degree of calcification, and so on.

As the chief surgeon, Shi Langqin immediately received all the information about the valve.

He immediately started aortic root angiography to clarify the shape of the aortic sinus and the location of the coronary artery opening.

As an assistant, Jin Miao assisted Shi Langqin and began to perform blood vessel puncture.

Lu Chen stood next to the operating table, and he had a panoramic view of the operations of the two.

Compared with the operation three years ago, their level has improved significantly.

Even on a national scale, both of them can be ranked at this level.

……

Under the guidance of a 14Fr COOK sheath, Shi Langqin placed a 22mm balloon and pre-dilated it twice.

However, after finishing the above operations, Shi Langqin suddenly stopped what he was doing.

"Director Lu, what type of valve does this patient choose?"

Compared with surgical techniques, in various interventional surgeries, it is also very important to assess the severity of the lesion and select the most suitable artificial valve.

The choice of artificial valve directly affects the success or failure of the operation.

Usually, the average patient will have a detailed CT evaluation before the operation, so as to select the best one.

But like this kind of emergency TAVR surgery, there is no preoperative examination, and it is difficult to choose the most suitable stent only by intraoperative ultrasound examination.

However, in this operation, as the operator of the ultrasound machine, Lu Chen has a unique advantage.

He observed the ultrasound images again, carefully compared and evaluated the effect of balloon expansion and the size of the valve ring structure, and then slowly said: "Professor Shi, choose J-valve25MM valve."

"Okay." Shi Langqin believed in Lu Chen's words, and directly ordered Jin Miao to bring the 25MM valve.

The valve begins to deliver.

Although Shi Langqin was a bit older, his hand movements were not unfamiliar at all.

Valve delivery, deployment, fixation.

The whole process, in one go.

After the valve was fully released, Lu Chen confirmed the position and function of the valve through ultrasound.

Subsequently, Shi Langqin used balloon post-dilation again, no definite paravalvular leakage was found, and the effective annulus diameter was about 25 mm when the stent was deployed.

"Great, it worked!"

Shi Langqin and Jin Miao's eyes flashed with brilliance.

With Director Lu Chen present, the effect is different.

Immediately after surgery, the patient showed significant hemodynamic improvement.

The peak AV velocity of the valve dropped from 12.33m/s to 3.2m/s!

Epinephrine dropped from 0.3 μg/kg/min to 0.1 μg/kg/min, norepinephrine from 0.8 μg/kg/min to 0.3 μg/kg/min!

The amount of rescue medication has been greatly reduced, which proves that the patient's heart function is gradually recovering.

Secondly, in Lu Chen's eyes, the rate of decline in the patient's health has been slowly slowing down.

The three minus sign trends on the head have also become two!

"Send it back to the CCU for further observation. The dose of catecholamine vasoactive drugs can be gradually reduced until stopped." Lu Chen warned.

"Okay, Director Lu." Jin Miao nodded.

Postoperative care and prevention of complications are also very important.

Interventional surgery in the Department of Cardiology is fine. Many surgical operations, no matter how beautiful they are, if the postoperative care is not done properly, it is very easy to cause infection and cause the failure of the entire operation.

……

Doctor-patient communication room.

Shi Langqin had already taken off his mask and hat, and said to the patient's family: "The operation was a success! It lasted 120 minutes. Under strict anesthesia monitoring and management, no adverse cardiac events such as cardiac arrest or malignant arrhythmia occurred during the whole process."

The family member was a middle-aged woman. Hearing this, she trembled with excitement, "Great, great! Professor Shi, you are truly living Bodhisattvas!"

Shi Langqin smiled slightly, "You guys are lucky this time. The expert who came back from Mayo just now happened to be visiting our hospital. With his full participation in this operation, the safety of the operation has been greatly improved."

"Thank you, thank you!" The middle-aged woman thanked again, and at the same time said to a man behind her, "I told you, I should come to the Central Hospital. Fortunately, I didn't go to Guanghai No. [-] Hospital..."

Hearing the conversation among the family members, Shi Langqin smiled and left.

"Director Lu, thank you so much this time."

In the lounge, Shi Langqin personally poured a cup of tea for Lu Chen.

You know, Professor Shi Langqin, who is about to turn 50 this year, personally pours tea for a junior.

This is enough to show the importance and admiration he has for Lu Chen in his heart.

Lu Chen quickly stood up, bowed slightly, and took the cup of tea, "Thank you, Professor Shi, I'm actually just playing an auxiliary role. Aren't you the real surgeon?"

Shi Langqin smiled. Lu Chen's attitude made him a little embarrassed, and he immediately changed the subject: "Director Lu, our hospital and our department really want you to come. With your Join us, we will definitely be even more powerful, and in time, we will definitely be the TOP1 in the domestic TAVR field!"

Jin Miao on the side also nodded hastily.

Lu Chen pursed his lips and smiled, "Professor Shi, I understand what you mean. It's not urgent, let me go back and think about it."

"Okay." Shi Langqin smiled coyly, "I'm a little impatient."

He also knew that there must be many people who came to look for Lu Chen.

Among them, there are definitely many that are better than Guanghai Central Hospital.

……

Left Guanghai Central Hospital.

Lu Chen went to the appointment and had dinner with Xu Wei.

By the second day.

A sudden phone call made Lu Chen change his next itinerary.

"Hey, Professor Lu, are you busy?"

On the phone, a male voice came.

Lu Chen felt a little familiar, but couldn't remember who it was.

"excuse me, you are……"

"Professor Lu, I'm Zou Wei!" A hearty laugh came from the other end of the phone.

"Zou Wei?" Lu Chen murmured, somewhat familiar, but still couldn't remember.

"The nephew of Director Zou Yi of the Metropolitan Science and Technology Bureau."

"Oh?" Lu Chen was a little impressed.

"It was the one who was bitten by a tick, and other hospitals said that a pacemaker should be put in." Zou Wei continued, "Later, I came to your place, and it was found that the slow heartbeat was caused by the tick bite, so there is no need to put a pacemaker. .”

"Oh!"

When it came to the specific disease, Lu Chen immediately thought of it.

"It's you! I remember! What's the matter?"

Zou Wei laughed, "Director Lu, I heard that you have returned to China?"

"Yeah, you're pretty well informed." Lu Chen said.

"In Guanghai?" Zou Wei said again.

"Ah."

"Are you busy now? I happen to be in Guanghai right now, and I would like to treat you to a meal."

"Okay." Lu Chen thought for a while, and he didn't have anything to do in the afternoon.

"Okay then, Director Lu, I'll send you the address."

After hanging up the phone, Zou Wei sent Lu Chen the address of a five-star hotel.

"Is this kid really rich?!"

Lu Chen smiled.

Although I don't know Zou Wei's intention to find him, it is also a good thing to have another friend.

At one o'clock in the afternoon, Lu Chen rushed to the five-star hotel.

(End of this chapter)