I Can See Health

Vol 3 Chapter 881: Zou Wei's invitation

Chapter 881 Zou Wei's invitation

Lu Chen gave the patient's valve lesions very accurately, such as shape, location, degree of calcification, etc.

Shi Langqin, as the chief surgeon, received all the valve information right away.

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

Jin Miao, as an assistant, assisted Shi Langqin on the side, and began to perform vascular puncture.

Lu Chen stood beside the operating table, and the two of them had a panoramic view of their operations.

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

Even on a national scale, both of them can rank high at this level.

…

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

However, after completing the above operations, Shi Langqin suddenly stopped the movements in his hands.

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

Compared with surgical skills, another important point in various interventional surgeries is to evaluate the severity of the disease and select the most suitable artificial valve.

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

Usually, patients will do a detailed CT evaluation before surgery to select the best one.

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

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 balloon expansion effect and the size of the valve ring structure, and then slowly said: "Professor Shi, choose the J-valve25MM valve."

"Okay." Shi Langqin was convinced of Lu Chen's words, and directly ordered Jin Miao to bring the 25MM valve over.

Valve delivery begins.

Although Shi Langqin is a little older, the movements of his hands are not unfamiliar at all.

Valve delivery, delivery, fixation.

The whole process is done in one go.

After the valve was completely released, Lu Chen confirmed the position and function of the valve by ultrasound.

Subsequently, Shi Langqin used the balloon again to dilate, and no clear paravalvular leakage was found. The effective annulus diameter of stent deployment was about 25mm.

"Great, it worked!"

Shi Langqin and Jin Miao's eyes were full of brilliance.

With Director Lu Chen here, the effect is different.

Immediately postoperatively, the patient showed significant hemodynamic improvement.

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

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

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

Secondly, in Lu Chen's eyes, the rate of decline in the patient's HP is already slowing down.

The trend of three minus signs on the head has also become two!

"Send back to the CCU for continued 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.

Cardiac interventional surgery is not bad. Many surgical operations, no matter how beautiful they are, can easily lead to infection and the failure of the entire operation if they are not properly cared for after surgery.

…

Doctor-patient communication room.

Shi Langqin has taken off his mask and hat, and said to the patient's family: "The operation was a success! It lasted 120 minutes in total, and 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 is a middle-aged woman. Hearing this, the whole person trembled with excitement, "Great, great! Professor Shi, you are really living Bodhisattvas!"

Shi Langqin smiled slightly, "This time you are considered lucky. The expert who just came back from Mayo in the United States just happened to be inspecting in our hospital. He participated in the whole operation of this operation, and the safety of the operation has been improved a lot."

"Thank you, thank you!" The middle-aged woman thanked again, and at the same time said to a man behind her, "As I said, I should have come to the Central Hospital, but luckily I didn't go to Guanghai First Hospital..."

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

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

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

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

This is enough to show how much he values and admires Lu Chen in his heart.

Lu Chen hurriedly stood up, bowed slightly, and took the cup of tea, "Thank you, Professor Shi, in fact, I'm just playing an auxiliary role. Isn't the real chief surgeon still you?"

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 sincerely want you to come. With you Joining, we will definitely be even more powerful, and over time, we will definitely be the TOP1 in the domestic TAVR field!"

Jin Miao also nodded quickly.

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 shyly, "I'm a little impatient."

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

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

…

left Guanghai Central Hospital.

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

It was the next day.

A sudden call made Lu Chen change his next itinerary.

"Hello, Professor Lu, are you busy?"

On the phone, a male voice came.

Lu Chen felt a little familiar, but he couldn't remember who the other party 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 can't remember.

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

"Oh?" Lu Chen was somewhat impressed.

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

"Oh!"

Speaking of the specific disease, Lu Chen suddenly thought of it.

"It's you! I remember it! What's wrong?"

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

"Yeah, you are quite well informed." Lu Chen said.

"In Guanghai?" Zou Wei said again.

"Um."

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

"Okay." Lu Chen thought about it, and he didn't have anything to do in the afternoon.

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

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

"Is this kid really rich?!"