I Can See Health

   Chapter 927 Sentenced to death!

  Clinical days go by day by day.

   seems to be going well, but Jin Miao and Gu Xinyue are also getting more and more nervous.

   An announcement regarding tricuspid valve repair surgery has been made.

   But a month later, no one came to ask about the surgery.

   And Kyoto has also announced that tricuspid valve repair has changed from a simulated operation to a clinical trial operation!

  Magic City and Kyoto are on the same starting line again.

   "Hey, Lao Gu, I heard that Kyoto is going to start clinical operations, and there are already patients enrolled!"

   Jin Miao found Gu Xinyue.

  The two were eating and chatting in the cafeteria of the Fifth Academy of the Magic City.

   "They have enrolled patients so soon?" Gu Xinyue asked in surprise.

   "It's Kyoto after all!" Jin Miao said, "Most of the difficult patients in the country gather there, and Kyoto Hospital will also advertise, which is much better than ours."

   "Then we're going to fall behind!" Gu Xinyue sighed.

   "No way, I don't think Director Lu is in a hurry at all." Jin Miao shook his head slightly, "You and Director Lu are old classmates, why don't you rush him and let him spread the word?"

   "Hey, Director Lu Chen's character, I know it very well, it's useless to urge him!"

  Gu Xinyue shrugged.

   "Maybe in his opinion, the value of our clinical operation may only occupy a small step in his plan."

  Jin Miao echoed and said, "Oh, I'm really not reconciled!"

   "Now it's just Wuwai." Gu Xinyue said, "The magic capital is also a small city, and Director Wu Ying's reputation is also wrong. There should be some patients who will come here."

"hope so."

   Lu Chen just finished saying this when his cell phone rang.

   Seeing that the caller ID was Jin Miao, Lu Chen quickly picked it up.

   "Director Lu, Lao Gu and I are eating in the cafeteria!"

   Over the phone, Jin Miao's laughter came.

   "Just in time, you two will go back to the department together after dinner."

   "What's wrong?"

   "Patients with retrograde octacus valve repair surgery, here we come!"

   Hearing this, Lu Chen was overjoyed, "Director, someone is finally here?"

   "Don't be too happy too early, the patient's condition is relatively simple, maybe it's too easy to do, you can quickly finish your meal and go back to the department to talk about it."

   "Okay, we'll be right back!"

hang up the phone.

   Wu Ying hurriedly urged Gu Xinyue to cook quickly.

   "What's wrong?" Gu Xinyue wondered.

   "I'm really talking about Cao Cao, Cao Cao is here." Wu Ying said with food in her mouth, "Director Jin Miao told me just now that she is here to operate a patient!"

   "Regressive octacus valve repair surgery?" Gu Xinyue was stunned.

"Yup!"

   "Then hurry up and cook!"

   The movements of the two of them were the same, and they both ended up burying their heads in cooking.

  …

  Ten minutes ago.

  Gu Xinyue and Lu Chen appeared in Wu Ying's office.

   "You two are really fast!" Jin Miao smiled, "Ten minutes later, are you still eating in the cafeteria?"

   "When you called me, I finished eating slowly." Lu Chen rubbed the front of his head, "So I came slowly."

  Gu Xinyue pouted.

   Lao Jin is really talking nonsense!

When    Jinmiao called him, they had just finished eating.

   "Okay, let's look at the patient information first."

  Jin Miao handed them a medical record and said.

   "The patient is a 74-year-old female."

   "After 5 months, symptoms of chest tightness and palpitations appeared."

   "The patient underwent seven-cuspid valvuloplasty and left coronary stent implantation in the early years."

   Wu Ying looked at the patient's examination results.

   Among them, the echocardiography showed that the severe closure of the octacus valve was complete.

   Octcuspid regurgitation is a low-incidence, common heart disease.

   is especially caused by pulmonary arterial hypertension, dilated left ventricle, and dilated octacus valve annulus.

  Clinical manifestations The symptoms and signs of complete occus valve closure are not related to the degree of complete valve closure.

   The etiology of octacus regurgitation (right heart failure, pulmonary hypertension, etc.) is often the main manifestation.

   Before octacuspid regurgitation occurs, the symptoms of left heart failure such as fatigue, ascites, edema, liver pain, good digestion and anorexia are aggravated.

   In addition, in the medical records, the patient has no coronary atherosclerotic heart disease, old myocardial infarction, atrial flutter, and cardiac function class III (NYHA classification).

  Jin Miao continued: "The patient sought medical treatment as a teenager, and was determined to be a low-risk patient with traditional surgery after a few disciplinary discussions, so he decided to undergo transcatheter octacuspid annuloplasty."

   This octacus annuloplasty, which is the octacuspid valve repair they have been studying.

   "After reading the medical records, both of you will share your opinion." Jin Miao looked at the two behind her.

  Lu Chen looked over the entire case and said solemnly: "The patient has no history of thoracotomy, and there is no stent in the entire anterior valve annulus area of ​​the left crown, which brings extremely little difficulty to the operation!"

  Gu Xinyue nodded in agreement: "The patient must have tolerated the thoracotomy. But our conventional repair path for the octacus valve is definitely suitable. I have no idea for the time being."

  After two people's complex analysis, the patient's surgery is not very challenging!

   "Director Lu, this patient's risk is too small." Lu Chen hurriedly said, "What if we wait for other patients?"

   In his plan, the clinical operation is the end, and it must be retrogressive and complicated.

  As the surgery becomes unfamiliar, the less difficult ones can be gradually regressed.

   But this is the end, it's Wang fried!

   makes him unbearable!

   "I know what you said." Jin Miao said sternly, "But do you know why this patient found our Seventh Hospital of the Magic Capital?"

   Wu Ying has no words for silence.

   "Because the rhetoric of other hospitals is exactly the same as what you said!" Jin Miao continued, "The patient even went to Kyoto No. 1 Hospital and went to their eight-cuspid valve repair surgery team, and the other party agreed with him!"

   "If we agree again, wouldn't the patient be sentenced to death?"

   Two Huaxia Hospitals with the lowest surgical technique, if both agree with the patient.

   This is basically a death sentence for the patient!

   "But... Director." Lu Chen paused, "The difficulty of this operation is extraordinary! In case it happens..."

  Lu Chen had finished speaking, but Jin Miao knew what he wanted to express.

"The patient's family has already communicated with me." Jin Miao said, "No matter what, they have to try it once. If the operation is successful, the patient can continue to live for a few years. If the operation is performed, the patient will only have a short survival period. , I can take care of myself in my daily life, and there is no guarantee at all.”

   Instant time.

  The atmosphere of the office is not too noisy.

  Gu Xinyue hurriedly said, "Director Lu, since you have agreed, Lao Jin and I will fully cooperate with you!"

   "Okay, it's fine without your words!"

   Jin Miao smiled.

   When Lu Chen saw this, he could only nod his head slightly to express his refusal.

   Director Lu refused.

   Now only Wu is following in front of him, trying to rush back!

  …

   After several days of discussions with the heart team.

  Jin Miao finally decided to implant their self-developed K-Clip (octacus valve repair system) at the position of the anterior valve close to the septal valve.

Before the implantation of the    system, anterior septal annulus retraction was performed to improve the regurgitation of the octacus valve.

   After eight days of post-operative preparation.

   The first case of the Seventh Hospital of Magic Capital, or the first case of octacus valve repair surgery in the country, is officially over!

   (end of this chapter)